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Individual

DR. FRAZIER H KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1218 NORTH DIVISION AVE, SUITE 208, SANDPOINT, ID 83864
(208) 263-3091
(208) 263-3147
Mailing address
1218 NORTH DIVISION AVE, SUITE 208, SANDPOINT, ID 83864
(208) 263-3091
(208) 263-3147

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-8165
ID
207Q00000X
Family Medicine Physician
M8165
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010032447
REGENCE
ID
01
080195176
RAIL ROAD MEDICARE
ID
01
50641
BLUE CROSS OF IDAHO
ID
05
806042600
ID
Enumeration date
08/16/2005
Last updated
03/28/2025
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