Ted J Fish M.D.

NPI 1053375857 - Internal Medicine - 207RI0011X

NPI Details
NPI 1053375857
Gender Male
Enumeration Date 04/17/2006
Last Updated 06/28/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3211 N NORTHHILLS BLVD
SUITE 110
FAYETTEVILLE AR, 72703-4007, US
Phone (479) 571-4338
Fax (479) 571-4015
Business Location
3211 N NORTHHILLS BLVD
SUITE 110
FAYETTEVILLE AR, 72703-4007, US
Phone (479) 571-4338
Fax (479) 571-4015
Toxanomy
Taxonomy Code 207RI0011X
License State Arkansas
License Number N6731
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According to our database, Dr. Ted J Fish M.D. NPI is 1053375857, taxonomy code is 207RI0011X and license number is N6731, license state is located at Arkansas. Ted J Fish M.D. physically located at 3211 N Northhills Blvd, Fayetteville AR, 72703-4007. NPI Number Ted J Fish M.D. has the Individual type.

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1053375857 NPI number is provided on an as is basis without warranty of any kind. 1053375857 is maintained by the National Plan & Provider Enumeration System. The contents of Ted J Fish M.D. are for informational purposes only.