MEDICARE: DR. JAMES W. FISHER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	AZ12892	AZ

General Provider Information

NPI Number	:	1003935917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES W. FISHER M.D.

Provider Business Mailing Address
First Line	:	12450 N 32ND ST STE 3
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-7160
Country	:	US
Telephone Number	:	602-996-0924
Fax Number	:	602-482-2624

Provider Business Practice Location Address
First Line	:	12450 N 32ND ST STE 3
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-7160
Country	:	US
Telephone Number	:	602-996-0924
Fax Number	:	602-482-2624

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	07/08/2007

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