Individual
GARY A FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 NORWEGIAN PLZ, POTTSVILLE, PA 17901-4400
(570) 622-8500
(570) 622-0261
Mailing address
1201 GRAMPIAN BLVD, STE 3A, WILLIAMSPORT, PA 17701-1900
(570) 322-4025
(570) 322-6403
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
OS003192L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000621890
—
PA
Enumeration date
09/15/2005
Last updated
02/15/2011
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