Organization
M FISHER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ANN FISHER-ROTHERY DC (OWNER)
(208) 629-9351
Entity
Organization
Contact information
Practice address
2300 S ORCHARD ST, STE A, BOISE, ID 83705-6722
(208) 383-3703
Mailing address
2300 S ORCHARD ST, STE A, BOISE, ID 83705-6722
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
CHIA-1292
ID
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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