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NPI Code Detail

MEDICARE: MR. HENRY KENNETH FISHER M.D.

MEDICARE:  MR. HENRY KENNETH 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
1207RP1001XPulmonary Disease PhysicianC28508CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063517506
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. HENRY KENNETH FISHER M.D.
Provider Business Mailing Address
First Line : 1230 E 1ST ST
Second Line :
City : CASPER
State : WY
Zip : 82601-2704
Country : US
Telephone Number : 307-266-3174
Fax Number : 307-261-6713
Provider Business Practice Location Address
First Line : 1230 E 1ST ST
Second Line :
City : CASPER
State : WY
Zip : 82601-2704
Country : US
Telephone Number : 307-266-3174
Fax Number : 307-261-6713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2006
Last Update Date : 10/27/2009

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Directions to “ MR. HENRY KENNETH FISHER M.D.” Practice Location

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