Individual provider · NPI-1

Doug Fisher

Perfusionist · Falls Church, VA

NPI number1962371856
StatusActive
Last updated in NPPESOct 30, 2025

Details

NPI
1962371856
Entity type
Individual (NPI-1)
Name
Doug Fisher
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 30, 2025
Certification date
Oct 30, 2025
Last updated
Oct 30, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
242T00000X Perfusionist––Yes

Practice location

3300 Gallows Rd # Va
Falls Church, VA 22042-3307

Phone 856-305-4207

Mailing address

8024 Eddy Bend Trl
Fairfax Station, VA 22039-2505

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