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Darrell J Fisher
Military Health Care Provider in Laurel, Maryland
NPI 1104346436

Darrell J Fisher is a Military Health Care Provider based in Columbia, MD. Darrell J Fisher practices in Laurel, MD. The NPI Number for Darrell J Fisher is 1104346436 and holds a License No. (Maryland).

The current practice location address for Darrell J Fisher is 7903 Crows Nest Court, Laurel, MD and can be reached out via phone at 813-316-5854.

Location: 7903 Crows Nest Court, Laurel, MD, 21045-6123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104346436
Provider Name
Darrell J Fisher
Credential
Provider Entity Type
Individual
Gender
Male
Address
7903 Crows Nest Court, Laurel, MD, 21045-6123
Phone Number
813-316-5854
Fax Number
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7903 Crows Nest Court
City
Laurel
State
Maryland
Zip
20707
Phone Number
813-316-5854
Fax Number
person
Provider Business Mailing Address Details
Address
7903 Crows Nest Court
City
Laurel
State
Maryland
Zip
20707
Phone Number
813-316-5854
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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