Organization
FRAZIER KING
Active
Other names
NORTH IDAHO FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRAZIER HERMON KING M.D (OWNER)
(208) 255-1523
Entity
Organization
Contact information
Practice address
2023 SANDPOINT WEST DRIVE, SANDPOINT, ID 83864
(208) 255-1523
(208) 255-7894
Mailing address
2023 SANDPOINT WEST DRIVE, SANDPOINT, ID 83864
(208) 255-1523
(208) 255-7894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8165
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8G098
BLUE CROSS OF IDAHO
ID
Enumeration date
02/28/2008
Last updated
03/08/2012
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