Wallace, Austin Fisher

Wallace, Austin Fisher is an sole proprietor health care provider with primary practice located at 1010 Three Springs Blvd Suite 294, Durango CO 81301-8296. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wallace, Austin Fisher can be contacted via phone (970) 247-4311.

Contact Information

Primary practice address
1010 Three Springs Blvd Suite 294 Durango CO 81301-8296
Phone: (970) 247-4311
Fax: (970) 764-3894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MDR-5299 Hawaii
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 7087070-1205 Utah
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 53508 Colorado

Profile Details

NPI number 1437356193
LBN Legal business name Wallace, Austin Fisher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2007
Last updated May 27th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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