-- STACY L FISH -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1598063851- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 712 AVIATION WAY, CALDWELL, ID, 836051154
- Phone
- (208) 302-1400
- Fax
- (208) 302-1455
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA-949
Physician Assistant