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Individual

ANASTASIA CAMILLE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1900 GORDON COOPER DRIVE, SHAWNEE, OK 74801
(405) 878-7160
(405) 878-7129
Mailing address
1900 S GORDON COOPER DR, SHAWNEE, OK 74801-8603
(405) 878-7160
(405) 878-7129

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4406
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200094540A
OK
Enumeration date
11/01/2006
Last updated
01/29/2009
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