IndividualActive
Joshua Fisher, MPAS, PA-C
NPI 1619614385 · Surgical Physician Assistant · Boise, ID
Provider details
- NPI number
- 1619614385
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MPAS, PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Medical Physician Assistant363AM0700X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
190 E Bannock St Fl 10
Boise, ID 83712-6241
Phone: (208) 381-2555
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2022-05-16
- Last updated
- 2022-07-13
- Certified
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.