SearchIdaho101YM0800X

Samuel Fisher

NPI 1205759107 · on the registry since 2026

Practice

Address
1400 E Terry St, Bldg 63, 7th Floor
Pocatello, ID 83201
Phone
(208) 282-3156
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho