Basic Information
Provider Information
NPI: 1649564998
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FISHER
FirstName: EMILY
MiddleName: CORINNE SINGER
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SINGER
OtherFirstName: EMILY
OtherMiddleName: CORINNE
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 1
Mailing Information
Address1: 1145 S. UTICA AVE, 6TH FLOOR
Address2: HILLCREST PHYSICIAN'S BUILDING
City: TULSA
State: OK
PostalCode: 74104
CountryCode: US
TelephoneNumber: 9185792364
FaxNumber: 9185792369
Practice Location
Address1: 1145 S UTICA AVE
Address2: 6TH FLOOR
City: TULSA
State: OK
PostalCode: 741044000
CountryCode: US
TelephoneNumber: 9185792364
FaxNumber: 9185792369
Other Information
ProviderEnumerationDate: 06/03/2011
LastUpdateDate: 02/09/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X31151OKY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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