Provider Demographics
NPI:1740790500
Name:FISHER, TORY CHRISTOPHER (PA-C)
Entity Type:Individual
Prefix:
First Name:TORY
Middle Name:CHRISTOPHER
Last Name:FISHER
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:21968 W 125TH PL
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7874
Mailing Address - Country:US
Mailing Address - Phone:316-992-8679
Mailing Address - Fax:
Practice Address - Street 1:22450 S HARRISON ST STE 100
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:KS
Practice Address - Zip Code:66083-8882
Practice Address - Country:US
Practice Address - Phone:913-592-2720
Practice Address - Fax:913-592-2725
Is Sole Proprietor?:No
Enumeration Date:2017-10-06
Last Update Date:2017-10-06
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical