Individual
JULIE FISHER CURRENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
322 BEARD CREEK ROAD, SUITE 200, EDWARDS, CO 81632
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 1749, EDWARDS, CO 81632-1749
(970) 926-6340
(970) 926-6348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2008
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008
STATE OF COLORADO PA
CO
05
—
51339269
—
CO
Enumeration date
02/21/2006
Last updated
03/07/2023
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