Individual
MR. MARSHALL ALAN FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
221 3RD ST W # BULD1040, JBSA RANDOLPH, TX 78150-4800
(210) 652-7379
Mailing address
HQ AETC A3N, 73 MAIN CIRCLE BLD 661, JBSA RANDOLPH, TX 78150-4549
(210) 652-7379
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
05/10/2018
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