Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN DONALD FISHER, DPM
ActiveJONATHAN DONALD FISHER, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in PONDERAY, Idaho. NPI 1891969606 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · PONDERAY, ID
Registration Details
- NPI Number
- 1891969606
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2008 (18.295331796478 yrs)
- Last Updated
- Jun 23, 2021
- License
-
P-198 (ID)
Practice Information
- Address
-
30544 HIGHWAY 200SUITE 102PONDERAY, ID, 838525005Browse ID providers · Browse ZIP 83852
- Phone
- 2082659817
- Fax
- 2082654533
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.