Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | MD00041212 | WA |
NPI | 1205887122 |
---|---|
Provider Name | James D Fischer |
First Address | Spokane, WA 99201-2234 |
Second Address | Spokane, WA 99204-2307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 20/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8317612 | (05) | WA |
AB32999 | MEDICARE GROUP (01) | WA |
F70757 | (02) | WA |