Most Relevant Information
Provider Data
| NPI Number: | 1003668666 |
| Provider Name: | DOUGLAS FISHER DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/04/2024 |
| Last Updated: | 04/04/2024 |
Provider Practice Location
501 S WASHINGTON AVE
SCRANTON
PA
185053814
Practice Location Phone/Fax
| Phone: | 5703432383 |
| Fax: |
Provider Mailing Location
501 S WASHINGTON AVE
SCRANTON
PA
185053814
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |