Individual
JAMES B FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 SAINT JOHNS WAY, SUITE 17, LEWISTON, ID 83501-2435
(208) 746-9644
(208) 746-0782
Mailing address
307 SAINT JOHNS WAY, SUITE 17, LEWISTON, ID 83501-2435
(208) 746-9644
(208) 746-0782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M3622
ID
207R00000X
Internal Medicine Physician
MD00014668
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004097
REGENCE BLUE SHIELD
ID
05
—
1073816
—
WA
01
—
36228
BLUE CROSS OF IDAHO
ID
Enumeration date
07/25/2006
Last updated
07/08/2007
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