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NPI Code Detail

MEDICARE: MR. MICHAEL FRANCIS FISHER PA

MEDICARE: MR. MICHAEL FRANCIS FISHER PA
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
1363AM0700XMedical Physician Assistant1136TN
2363AM0700XMedical Physician AssistantPA891KY
3363AS0400XSurgical Physician AssistantPA 979NV
4363AM0700XMedical Physician Assistant0110002760VA
5363AS0400XSurgical Physician Assistant1136TN
6363AM0700XMedical Physician AssistantPA979NV

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 : 1629076237
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL FRANCIS FISHER PA
Provider Business Mailing Address
First Line : 2809 W CHARLESTON BLVD
Second Line : STE. 150
City : LAS VEGAS
State : NV
Zip : 89102-1998
Country : US
Telephone Number : 702-476-9999
Fax Number : 702-946-1343
Provider Business Practice Location Address
First Line : 2809 W CHARLESTON BLVD
Second Line : STE. 150
City : LAS VEGAS
State : NV
Zip : 89102-1998
Country : US
Telephone Number : 702-476-9999
Fax Number : 702-946-1343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 06/14/2016

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Directions to “ MR. MICHAEL FRANCIS FISHER PA” Practice Location

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