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Jack Elliott Fisher, DPM
Podiatrist in Gilroy, California
NPI 1629072392

Jack Elliott Fisher is a Podiatrist based in Gilroy, CA. Jack Elliott Fisher practices in Gilroy, CA and has the professional credentials of DPM. The NPI Number for Jack Elliott Fisher is 1629072392 and holds a License No. E1702 (California).

The current practice location address for Jack Elliott Fisher is 8O 5Th St, Gilroy, CA and can be reached out via phone at 408-842-0281 and via fax at 408-848-4341.

Location: 8O 5Th St, Gilroy, CA, 95020-5748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629072392
Provider Name
Jack Elliott Fisher
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
8O 5Th St, Gilroy, CA, 95020-5748
Phone Number
408-842-0281
Fax Number
408-848-4341
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E1702 01 CA MEDICAL LICENSE
1629072392 01 CA INDIVIDUAL NPI
1780794644 01 CA ENTITY NPI
institution
Provider Business Practice Location Address Details
Address
8O 5Th St
City
Gilroy
State
California
Zip
95020-5748
Phone Number
408-842-0281
Fax Number
408-848-4341
person
Provider Business Mailing Address Details
Address
8O 5Th St
City
Gilroy
State
California
Zip
95020-5748
Phone Number
408-842-0281
Fax Number
408-848-4341
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
E1702 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
E1702 (California)
Definition
Definition to come...
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