Doctor Name: | DR. DONNA B FISCHER |
NPI Number: | 1134374648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 3082830-1205 |
Business Practice Address: | 6531 N Landmark Dr. Park City, UT - 84098 |
Business Phone Number: | 4356558900 |
Business Fax Number: | 4356553455 |
Mailing Address: | 2600 Broken Spoke Way, PARK CITY |
State: | UT |
Postal Code: | 84060 |
Phone Number: | 4359019008 |
Fax Number: | 4356151519 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 3082830-1205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |