Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 207PP0204X | AZ |
NPI | 1184157448 |
---|---|
Provider Name | Riley Anne Fisher |
First Address | Spokane, WA 99202-5089 |
Second Address | Tucson, AZ 85724-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 06/04/2017 |