Individual
JOHN COOPER FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3636 HIGH ST, PORTSMOUTH, VA 23707-3236
(757) 398-2200
Mailing address
4627 DEER SPRING RD, MIDDLETOWN, MD 21769-6640
(301) 401-6687
(301) 401-6687
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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