Individual provider · Type 1 NPI
Jonathan Donald Fisher, DPM
Foot & Ankle Surgery Podiatrist · Ponderay, ID
NPI number
1891969606
Active
Practice location
30544 Highway 200, Suite 102
Ponderay, ID 83852-5005
Fax (208) 265-4533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | P-198 (ID) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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- Stuart Gall Crna IncCertified Registered Nurse Anesthetist Ponderay, ID NPI 1932527389
- Angela Alice Chapin, MTMassage Therapist Ponderay, ID NPI 1679110845
- Bruce William Demko, CRNACertified Registered Nurse Anesthetist Ponderay, ID NPI 1780651539
- Jessica Hunt, LMTMassage Therapist Ponderay, ID NPI 1851894018
- Joan M. Bloom, MDFamily Medicine Physician Ponderay, ID NPI 1033229307
- Michael Raymond Dibenedetto, MDOrthopaedic Surgery Physician Ponderay, ID NPI 1679644397
- Tara Heisey, LMTMassage Therapist Ponderay, ID NPI 1245194059
About NPI 1891969606
Jonathan Donald Fisher, DPM's National Provider Identifier is 1891969606, issued on Apr 14, 2008. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Ponderay, ID. The record was last updated on Jun 23, 2021.