Healthcare Provider Details
I. General information
NPI: 1356391379
Provider Name (Legal Business Name): BARTON BRADFIELD FISCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/11/2006
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2828 N. FRESNO ST SUITE 100
FRESNO CA
93721
US
IV. Provider business mailing address
7436 N. BLYTHE AVE
FRESNO CA
93722-9719
US
V. Phone/Fax
- Phone: 559-263-9648
- Fax: 559-263-9777
- Phone: 559-435-8345
- Fax: 559-435-8345
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | G31220 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: