Individual
VICKI FISHFADER
Active
Individual
VICKI FISHFADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PA10003946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191614
WORKMANS COMP
WA
01
—
3852FI
REGENCE BLUE SHIELD
WA
01
—
6927FI
REGENCE BLUE SHIELD 2
WA
05
—
8345647
—
WA
Enumeration date
09/13/2006
Last updated
02/25/2013
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