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Contact Information

LANCE S FISHER, PA
5702 W CAMPBELL AVE
PHOENIX, AZ85031
 Phone: 623-848-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LANCE S FISHER · (Male)

NPI # 1720062417
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/06/2005
Last updated 01/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 2412
  • MN License # 11450
  • AZ Medicaid 538192
  • AZ Other 3981220 EVERCARE GROUP
  • AZ Other 453051001 GROUP HEALTH GROUP
  • AZ Other AW1436 HEALTHNET GROUP
  • AZ Other 860373636 HUMANA GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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