Provider Demographics
NPI:1821428996
Name:FISHER, NEIL ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:ALAN
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8900 N CENTRAL AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2845
Mailing Address - Country:US
Mailing Address - Phone:561-755-3814
Mailing Address - Fax:602-532-7216
Practice Address - Street 1:8900 N CENTRAL AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2845
Practice Address - Country:US
Practice Address - Phone:561-755-3814
Practice Address - Fax:602-532-7216
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-26
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0066158208D00000X
MS20192208D00000X
AZ37239208D00000X
TXM7182208D00000X
VA0101241120208D00000X
CAG68698208D00000X
NY7929291208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice