Individual
MICKEY MITCHELL FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 E HAMPDEN AVE, ENGLEWOOD, CO 80113-2702
(303) 788-5000
Mailing address
3531 S LOGAN ST # 185, ENGLEWOOD, CO 80113-3700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2021030613
MO
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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