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Individual

DAVID FISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-8000
(479) 338-3056
Mailing address
750 NE 13TH ST, OAC 200, OKLAHOMA CITY, OK 73104-5010
(405) 271-4351

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-12136
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
236383001
AR
Enumeration date
05/12/2015
Last updated
11/04/2020
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