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NPI Code Detail

MEDICARE: SARA FISHER MT-BC

MEDICARE: SARA FISHER MT-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1922355650
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA FISHER MT-BC
Provider Business Mailing Address
First Line : 3342 OREGON TRL
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-4205
Country : US
Telephone Number : 970-980-8472
Fax Number :
Provider Business Practice Location Address
First Line : 3342 OREGON TRL
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-4205
Country : US
Telephone Number : 970-980-8472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2012
Last Update Date : 08/13/2012

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Directions to “ SARA FISHER MT-BC” Practice Location

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