Individual
DR. GARY STEVEN DRIZIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
775 POLE LINE RD W STE 315, TWIN FALLS, ID 83301-5823
(208) 814-8750
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
CDRH.0065406
CO
207RP1001X
Pulmonary Disease Physician
EMC0000767
MI
207RP1001X
Pulmonary Disease Physician
Primary
MC-1590
ID
207RP1001X
Pulmonary Disease Physician
MD021585E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008511390003
—
PA
Enumeration date
04/03/2006
Last updated
03/26/2025
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