Most Relevant Information
Provider Data
| NPI Number: | 1003015363 |
| Provider Name: | BRANDON FISH O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | ODP100141 |
Most Important Dates
| Enumeration Date: | 07/16/2007 |
| Last Updated: | 04/22/2009 |
Provider Practice Location
731 N COLLEGE RD
TWIN FALLS
ID
833013382
Practice Location Phone/Fax
| Phone: | 2087343937 |
| Fax: | 2087347585 |
Provider Mailing Location
731 N COLLEGE RD
TWIN FALLS
ID
833013382
Provider Mailing Phone/Fax
| Phone: | 2087343937 |
| Fax: | 2087347585 |