Individual
DR. KOLE WITT FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1855
Mailing address
18319 VICEROY AVE, NAMPA, ID 83687-8199
(803) 341-5958
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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