Scott W. Fisher, MD
Pediatrics in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1861576845
StatusActive
Last updated in NPPESJun 25, 2013
Details
- NPI
- 1861576845
- Entity type
- Individual (NPI-1)
- Name
- Scott W. Fisher
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 25, 2006
- Last updated
- Jun 25, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | G41278 | CA | Yes |
| 208000000X | Pediatrics | 254926 | MA |
Practice location
3298 Montecito Meadow DrSanta Rosa, CA 95404-1849
Phone 707-217-3179
Mailing address
3298 Montecito Meadow DrSanta Rosa, CA 95404-1849
Phone 707-217-3179
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