Individual
DOUG FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 GALLOWS RD # VA, FALLS CHURCH, VA 22042-3307
(856) 305-4207
Mailing address
8024 EDDY BEND TRL, FAIRFAX STATION, VA 22039-2505
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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