Provider Demographics
NPI:1346354750
Name:FISCH, JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:FISCH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5320 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-1840
Mailing Address - Country:US
Mailing Address - Phone:702-794-0073
Mailing Address - Fax:702-696-0554
Practice Address - Street 1:3121 S MARYLAND PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2307
Practice Address - Country:US
Practice Address - Phone:702-734-5328
Practice Address - Fax:702-892-9666
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2008-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV9113207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology