Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 30020613 | OH |
N | 204E00000X | Oral & Maxillofacial Surgeon | 35079106 | OH |
NPI | 1295704344 |
---|---|
Provider Name | Thomas E Fisher |
First Address | Zanesville, OH 43702-8047 |
Second Address | Zanesville, OH 43701-7361 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/07/2007 |