NPI 1396111357

M Fisher PC

Organisation Exclusive Provider Organization Boise, ID

Practice location

Address: 2300 S Orchard St STE a, Boise, ID 83705-6722
Phone: (208) 383-3703

Authorised official

Name: Michelle Ann Fisher-Rothery
Title: Owner
Phone: (208) 629-9351

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence CHIA-1292 (ID)

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Registry record

NPI: 1396111357
Entity type: Organization
NPI issued: 13 Aug 2015
Record last updated: 13 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.