MEDICARE: ARTHUR JAMES FISHER III D.P.M.

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	213E00000X	Podiatrist	E2216	CA
2	213ES0131X	Foot Surgery Podiatrist	E2216	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1265547210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR JAMES FISHER III D.P.M.

Provider Business Mailing Address
First Line	:	817 HARRIS ST
Second Line	:
City	:	EUREKA
State	:	CA
Zip	:	95503-4541
Country	:	US
Telephone Number	:	707-443-9860
Fax Number	:	707-443-1299

Provider Business Practice Location Address
First Line	:	817 HARRIS ST
Second Line	:
City	:	EUREKA
State	:	CA
Zip	:	95503-4541
Country	:	US
Telephone Number	:	707-445-5493
Fax Number	:	707-445-3552

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	08/14/2008

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