MR. Gregory D Fisk, PAC

NPI #1164409637 in Omak, Washington

Provider Information

NPI Number: 1164409637
Entity Type: Individual
Name: MR. Gregory D Fisk, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Dec 27, 2005
Last Updated: Apr 20, 2016

Practice Location

Address: 529 JASMINE ST
City: Omak
State: Washington
ZIP Code: 98841-9589
Phone: (509) 826-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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