Madison Fisher

NPI #1003515198 in Salt Lake City, Utah

Provider Information

NPI Number: 1003515198
Entity Type: Individual
Name: Madison Fisher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 27, 2023
Last Updated: Feb 27, 2023

Practice Location

Address: 27 S MARIO CAPECCHI DR
City: Salt Lake City
State: Utah
ZIP Code: 84112-5888
Phone: (801) 581-7498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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