# ROY TYLER FRIZZELL, M.D., PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992992911
- **Authorized official:** DR. ROY TYLER FRIZZELL M.D., PH.D. (PRESIDENT)
- **Authorized official phone:** (208) 344-1000

## Contact information

- **Practice address:** 222 N. 2ND STREET, SUITE 307, BOISE, ID 83702-6131
- **Practice address phone:** (208) 344-1000
- **Practice address fax:** (208) 344-1331
- **Mailing address:** 222 N. 2ND STREET, SUITE 307, BOISE, ID 83702-6131
- **Mailing address phone:** (208) 344-1000
- **Mailing address fax:** (208) 344-1331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | M6824 | ID | Yes |

## Other

- **Enumeration date:** 10/03/2007
- **Last updated:** 10/03/2007