| Jack Elliott Fisher, DPM | |
|
8o 5th St, Gilroy, CA 95020-5748 | |
| (408) 842-0281 | |
| (408) 848-4341 |
| Full Name | Jack Elliott Fisher |
|---|---|
| Gender | Male |
| Speciality | Podiatrist |
| Location | 8o 5th St, Gilroy, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629072392 | NPI | - | NPPES |
| E1702 | Other | CA | MEDICAL LICENSE |
| 1629072392 | Other | CA | INDIVIDUAL NPI |
| 1780794644 | Other | CA | ENTITY NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | E1702 (California) | Secondary |
| 213E00000X | Podiatrist | E1702 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Elliott Fisher, DPM 8o 5th St, Gilroy, CA 95020-5748 Ph: (408) 842-0281 | Jack Elliott Fisher, DPM 8o 5th St, Gilroy, CA 95020-5748 Ph: (408) 842-0281 |
Jack E Fisher Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 80 5th St, Gilroy, CA 95020 Phone: 408-842-0281 Fax: 408-848-4341 | |
Kaveh Akhbari Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 80 5th St, Gilroy, CA 95020 Phone: 408-842-0281 Fax: 408-848-4341 |