Dr. Mark Bradley Fisher, M.D.
Urology in Longmont, CO. Individual provider (NPI-1).
NPI number1356529028
StatusActive
Last updated in NPPESApr 29, 2022
Details
- NPI
- 1356529028
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Bradley Fisher
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2008
- Certification date
- Apr 29, 2022
- Last updated
- Apr 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | 054743 | CO | Yes |
| 208800000X | Urology | 036122470 | IL |
Practice location
1925 Mountain View AveLongmont, CO 80501-3128
Phone 720-718-8305 · Fax 303-485-3377
Mailing address
1925 Mountain View AveLongmont, CO 80501-3128
Phone 720-718-8305 · Fax 303-485-3377
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