David Edison Fisher in San Bernardino - Specialist
David Edison Fisher - NPI 1093811622
David Edison Fisher is a Specialist in San Bernardino, California. David Edison Fisher practices all healthcare services and medical treatments related to Specialist. The NPI Number for David Edison Fisher is 1093811622. The last update date is 2007-07-08.
David Edison Fisher's current location address is 1850 S. Waterman Ave,, San Bernardino, California. You can contact this provider via phone number 9098900977 and fax number 9093824523. The mailing address for David Edison Fisher is 1850 S. Waterman Ave,, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Edison Fisher |
|---|---|
| Address | 1850 S. Waterman Ave,, San Bernardino, California |
| Phone Number | 9098900977 |
| Fax Number | 9093824523 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093811622 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1850 S. Waterman Ave, |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 92408 |
| Phone Number | 9098900977 |
| Fax Number | 9093824523 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A36514 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0077430 | CA | -- | |
| A36514 | CA | MEDICAL LICENSE NUMBER |
Post Comment/ Review Below
What is the David Edison Fisher's 1093811622?
The David Edison Fisher's NPI (National Provider Identifier) Number is 1093811622. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Edison Fisher's physical address?
The David Edison Fisher is physically located at 1850 S. Waterman Ave,, in the city of San Bernardino, CA, with the postal code 92408.
What is David Edison Fisher's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for David Edison Fisher is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the David Edison Fisher receive the assignment of its 1093811622 from the Centers for Medicare & Medicaid Services?
The David Edison Fisher was issued its 1093811622 by the Centers for Medicare & Medicaid Services on 2006-09-14.
As of what date were the details pertaining to David Edison Fisher last refreshed?
The information related to the David Edison Fisher, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY