MR. Gary Fisk, PA is a surgical physician assistant in Peoria, IL. MR. Gary Fisk, PA NPI is 1891708491. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5405 N KNOXVILLE AVE
PEORIA, IL
ZIP 61614-016
Phone: (309) 691-4410
The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/8/2007.