Individual
DR. FRANK L FIASCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HOSPITAL DR, SUITE 109, KETCHUM, ID 83340-3069
(208) 726-1765
(208) 726-2863
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M6597
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010000315
REGENCE BLUE SHIELD OF ID
ID
05
—
000068000
—
ID
01
—
15974
BLUE CROSS OF IDAHO ID
ID
Enumeration date
07/13/2006
Last updated
07/31/2013
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