Individual
NOLAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4200 E CAMELBACK RD, PHOENIX, AZ 85018-2718
(602) 521-3550
(602) 635-6572
Mailing address
4200 E CAMELBACK RD, PHOENIX, AZ 85018-2718
(602) 521-3550
(602) 635-6572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
94-09974
KS
208100000X
Physical Medicine & Rehabilitation Physician
Primary
010199
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127324
—
AZ
Enumeration date
06/06/2019
Last updated
09/27/2024
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