Individual
DR. SCOTT W FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE, SUITE 5017, COLORADO SPRINGS, CO 80907-6831
(719) 635-2501
(719) 632-1062
Mailing address
2222 N NEVADA AVE, SUITE 5017, COLORADO SPRINGS, CO 80907-6831
(719) 635-2501
(719) 632-1062
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37141
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01371418
—
CO
01
—
020048150
RAILROAD MEDICARE
—
01
—
5994633
AETNA PIN
—
01
—
FI606163
COLORADO BLUE SHIELD
CO
Enumeration date
02/23/2006
Last updated
09/18/2018
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