Individual
DR. COLETTE ELISE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0055481
CO
208000000X
Pediatrics Physician
M4065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028879
KAISER COMMERCIAL NUMBER
CO
05
—
180708301
—
TX
01
—
8W6431
BLUE CROSS BLUE SHIELD
—
05
—
96780053
—
CO
Enumeration date
12/12/2006
Last updated
06/10/2021
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