Individual
FREDERICK J KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1352
(208) 322-1730
(208) 322-1731
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
(208) 322-8996
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M6891
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003773000
—
ID
Enumeration date
05/19/2006
Last updated
10/20/2014
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