Individual
CASTEN R FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1501 HILAND AVE STE F, BURLEY, ID 83318-2682
(208) 677-6091
Mailing address
900 SANDY GLEN LN, BURLEY, ID 83318-3344
(435) 851-6651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0-1897
ID
Other
Enumeration date
08/20/2020
Last updated
10/05/2023
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