Provider Demographics
NPI:1063553261
Name:HARRY C FISHER D O P C
Entity type:Organization
Organization Name:HARRY C FISHER D O P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:C
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:D O P C
Authorized Official - Phone:405-382-0585
Mailing Address - Street 1:919 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:OK
Mailing Address - Zip Code:74868-3150
Mailing Address - Country:US
Mailing Address - Phone:405-382-0585
Mailing Address - Fax:405-382-5940
Practice Address - Street 1:919 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:OK
Practice Address - Zip Code:74868-3150
Practice Address - Country:US
Practice Address - Phone:405-382-0585
Practice Address - Fax:405-382-5940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3189208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKG35853Medicare UPIN