Organization
IDAHO ALLERGY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN B FRITZ M.D. (PRESIDENT)
(208) 938-3443
Entity
Organization
Contact information
Practice address
379 E SHORE DR, SUITE 100, EAGLE, ID 83616-5410
(208) 938-3443
(208) 938-3553
Mailing address
379 E SHORE DR, SUITE 100, EAGLE, ID 83616-5410
(208) 938-3443
(208) 938-3553
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
M103
ID
Other
Enumeration date
07/16/2010
Last updated
06/17/2016
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