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STEVEN EUGENE FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
623 S MAIN ST, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Mailing address
623 S MAIN ST, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA74
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002399700
ID
Enumeration date
02/15/2006
Last updated
05/29/2012
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