Provider Demographics
NPI:1346232782
Name:FISHER, DAVID P (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:627 25 1/2 RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81505-1001
Mailing Address - Country:US
Mailing Address - Phone:970-242-3535
Mailing Address - Fax:970-255-6670
Practice Address - Street 1:627 25 1/2 RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1001
Practice Address - Country:US
Practice Address - Phone:970-242-3535
Practice Address - Fax:970-255-6670
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17476207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01174762Medicaid
CO2000022121OtherRAILROAD MEDICARE
CO2000022121OtherRAILROAD MEDICARE
D23283Medicare UPIN