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Michael T Fisher

  • Male

Medical Specialty

Professional ID

  • NPI: 1134155229
  • PECOS ID: 3072589282
  • Enrollment ID: I20040909000093
  • Credential(MD, DO, DPM): MD
  • Medical School: University Of Washington School Of Medicine
  • Medical School Graduation Year: 1995

Hospital Service

  • Hospital CCN1: 130006
  • Business Name (LBN)1: St Lukes Regional Medical Center
  • Hospital CCN2: 131323
  • Business Name (LBN)2: St Lukes Wood River Medical Center
  • Hospital CCN3: 131311
  • Business Name (LBN)3: St Lukes Elmore Medical Center

Medical Practices

  • Organization Name: Boise Radiology Group Pllc
  • Group Practice ID assigned by PECOS: 9638153257
  • Number of Group Practice member: 38

Location

  • Address1: 190 E Bannock
  • Address2:
  • City: Boise
  • State: Idaho
  • Zip Code: 83712
  • Phone Number: (208)381-2094

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):