Individual
MR. ANDREW DALE FRASIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1051
Mailing address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1051
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N45180
ID
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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