Fisher Medical Group | |
13090 N 94th Dr 200 Peoria AZ 85381-4256 | |
(623) 977-0661 | |
(623) 972-0161 |
Full Name | Fisher Medical Group |
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Speciality | Family Medicine |
Location | 13090 N 94th Dr, Peoria, Arizona |
Authorized Official Name and Position | Catherine A Fisher (PRESIDENT) |
Authorized Official Contact | 6239770661 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fisher Medical Group 13090 N 94th Dr 200 Peoria AZ 85381-4256 Ph: (623) 977-0661 | Fisher Medical Group 13090 N 94th Dr 200 Peoria AZ 85381-4256 Ph: (623) 977-0661 |
NPI Number | 1578615977 |
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Provider Enumeration Date | 01/17/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4587640206 |
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Medicare Enrollment ID | O20081001000711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578615977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9806 (Arizona) | Primary |
Provider Name | Catherine A Fisher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366621278 PECOS PAC ID: 7416025655 Enrollment ID: I20081001000508 |
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