Provider Demographics
NPI:1538162367
Name:FISHER, CARL M (DO)
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:M
Last Name:FISHER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:10010 E. 81ST STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5787
Mailing Address - Country:US
Mailing Address - Phone:919-250-2020
Mailing Address - Fax:918-250-8910
Practice Address - Street 1:10010 E. 81ST STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-5787
Practice Address - Country:US
Practice Address - Phone:919-250-2020
Practice Address - Fax:918-250-8910
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2010-03-10
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Provider Licenses
StateLicense IDTaxonomies
OK1676207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology