| James B. Fisher, M.d., P.a. | |
|
307 Saint Johns Way Ste 17 Lewiston ID 83501-2435 | |
| (208) 746-9644 | |
| (208) 746-0782 |
| Full Name | James B. Fisher, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 307 Saint Johns Way Ste 17, Lewiston, Idaho |
| Authorized Official Name and Position | James B Fisher (PHYSICIAN/OWNER/PRESIDENT) |
| Authorized Official Contact | 2087469644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James B. Fisher, M.d., P.a. 307 Saint Johns Way Ste 17 Lewiston ID 83501-2435 Ph: (208) 746-9644 | James B. Fisher, M.d., P.a. 307 Saint Johns Way Ste 17 Lewiston ID 83501-2435 Ph: (208) 746-9644 |
| NPI Number | 1588993729 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588993729 | NPI | - | NPPES |
| 002508600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M3622 (Idaho) | Primary |
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