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ROY TYLER FRIZZELL M.D. PLLC NPI 1992992911


NPI Information

NPI: 1992992911
Provider Name: ROY TYLER FRIZZELL, M.D., PLLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
222 N. 2ND STREET
SUITE 307
BOISE, ID
ZIP 83702
Phone: (208) 344-1000
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ROY TYLER FRIZZELL, M.D., PLLC is a specialist in Boise, ID. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ROY TYLER FRIZZELL, M.D., PLLC NPI is 1992992911. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

222 N. 2ND STREET
SUITE 307
BOISE, ID
ZIP 83702-131
Phone: (208) 344-1000
Fax: (208) 344-1331

The provider's authorized official is Roy Tyler Frizzell .
The authorized official title is President and has the following contact phone number (208) 344-1000.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 10/3/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistM6824IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F78827MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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