Healthcare Provider Details

I. General information

NPI: 1205887122
Provider Name (Legal Business Name): JAMES D FISCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 01/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W 8TH AVE STE 100
SPOKANE WA
99204-2307
US

IV. Provider business mailing address

901 N WASHINGTON ST STE 209
SPOKANE WA
99201-2234
US

V. Phone/Fax

Practice location:
  • Phone: 509-474-5445
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License NumberMD00041212
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: