Individual
KENNETH FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1444 W BETHANY HOME RD, PHOENIX, AZ 85013-1624
(602) 242-4843
(602) 433-7712
Mailing address
1444 W BETHANY HOME RD, PHOENIX, AZ 85013-1624
(602) 242-4843
(602) 433-7712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12762
AZ
Other
Enumeration date
11/01/2006
Last updated
08/31/2010
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