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1811961881
STEVEN EUGENE FISCHER
MOSCOW, ID
NPI
1811961881
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA74)
Enumeration Date
2006-02-15
Last Update Date
2012-05-29
Business Address
STEVEN EUGENE FISCHER PAC
623 S MAIN ST
MOSCOW, ID 83843-2983
Phone number: 208-882-2011
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Mailing Address
STEVEN EUGENE FISCHER PAC
623 S MAIN ST
MOSCOW, ID 83843-2983
Phone number: 208-882-2011
Copy
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