Individual
DR. DUKE VINCENT FISHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
841 BLOSSOM HILL RD, SUITE 209, SAN JOSE, CA 95123-2704
(408) 363-7957
(408) 363-7974
Mailing address
1010 CASS ST, SUITE C3, MONTEREY, CA 93940-4515
(831) 372-3018
(831) 372-5452
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A86657
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B9142901
DRIVER LICENSE
CA
Enumeration date
05/25/2006
Last updated
07/08/2007
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