Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | A42872 | CA |
NPI | 1225239536 |
---|---|
Provider Name | Dr. Donald Garth Fisher |
First Address | Beverly Hills, CA 90212-1800 |
Second Address | Beverly Hills, CA 90212-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |