Individual
BRIAN J FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 JEFFERSON HWY, ANESTHESIA DEPT., NEW ORLEANS, LA 70121-2429
(504) 842-3755
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200589
LA
390200000X
Student in an Organized Health Care Education/Training Program
200589
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05587571
—
MS
05
—
1067261
—
LA
Enumeration date
07/27/2007
Last updated
10/03/2013
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