JACK ELLIOTT FISHER

GILROY, CA
NPI1629072392
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213E00000X Podiatrist
(Licence: CA  E1702)
Additional Taxonomies213ES0131X 
(Licence: CA  E1702)
Enumeration Date2005-06-09
Last Update Date2014-08-27
Business Address
-- JACK ELLIOTT FISHER DPM
8O 5TH ST
GILROY, CA 95020-5748
Phone number: 408-842-0281
Mailing Address
-- JACK ELLIOTT FISHER DPM
8O 5TH ST
GILROY, CA 95020-5748
Phone number: 408-842-0281
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