MICHAEL NATHANIEL FISH

GALLUP, NM
NPI1730155078
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: MO  2005017275)
Enumeration Date2006-02-27
Last Update Date2012-11-07
Business Address
-- MICHAEL NATHANIEL FISH D.O.
516 E. NIZHONI BLVD
GALLUP, NM 87301-1337
Phone number: 505-722-1000
Mailing Address
-- MICHAEL NATHANIEL FISH D.O.
10646 S ERIE AVE
TULSA, OK 74137-7233
Phone number: 918-269-5123
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