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Jack E Fisher Dpm Inc
Foot & Ankle Surgery Podiatrist in Gilroy, California
NPI 1780794644

Jack E Fisher Dpm Inc is a Foot & Ankle Surgery Podiatrist based in Gilroy, CA and is specialized in Foot & Ankle Surgery. Jack E Fisher Dpm Inc practices in Gilroy, CA. The NPI Number for Jack E Fisher Dpm Inc is 1780794644 and holds a License No. E1702 (California).

The current practice location address for Jack E Fisher Dpm Inc is 80 5Th St, Gilroy, CA and can be reached out via phone at 408-842-0281 and via fax at 408-848-4341.

Location: 80 5Th St, Gilroy, CA, 95020-5702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780794644
Provider Name
Jack E Fisher Dpm Inc
Credential
Provider Entity Type
Organization
Address
80 5Th St, Gilroy, CA, 95020-5702
Phone Number
408-842-0281
Fax Number
408-848-4341
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629072392 01 CA INDIVIDUAL NPI
1780794644 01 CA GROUP NPI
E1702 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
80 5Th St
City
Gilroy
State
California
Zip
95020-5702
Phone Number
408-842-0281
Fax Number
408-848-4341
person
Provider Business Mailing Address Details
Address
80 5Th St
City
Gilroy
State
California
Zip
95020-5702
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
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E1702 (California)
Definition
Definition to come...
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