Provider Demographics
NPI:1821044876
Name:FISHER, DUKE VINCENT (MD)
Entity type:Individual
Prefix:DR
First Name:DUKE
Middle Name:VINCENT
Last Name:FISHER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1010 CASS ST
Mailing Address - Street 2:SUITE C3
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-4515
Mailing Address - Country:US
Mailing Address - Phone:831-372-3018
Mailing Address - Fax:831-372-5452
Practice Address - Street 1:841 BLOSSOM HILL RD
Practice Address - Street 2:SUITE 209
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-2704
Practice Address - Country:US
Practice Address - Phone:408-363-7957
Practice Address - Fax:408-363-7974
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA866572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB9142901OtherDRIVER LICENSE