Basic Information
| Provider Information | |||||||||
| NPI: | 1578903100 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FISHER | ||||||||
| FirstName: | TUESDAY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR B7500 | ||||||||
| Address2: | DEPARTMENT OF ORTHOPAEDICS | ||||||||
| City: | FT. CARSON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809135001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195262092 | ||||||||
| FaxNumber: | 7195267732 | ||||||||
| Practice Location | |||||||||
| Address1: | EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIR B7500 | ||||||||
| Address2: | DEPARTMENT OF ORTHOPAEDICS | ||||||||
| City: | FT. CARSON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809135001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7195262092 | ||||||||
| FaxNumber: | 7195267732 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2013 | ||||||||
| LastUpdateDate: | 02/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171000000X | N | Other Service Providers | Military Health Care Provider | 207X00000X | 0101257111 | VA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.