Individual
MR. SCOTT TREVOR FRISBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1525 E LEIGHFIELD DR, MERIDIAN, ID 83646-5371
(208) 888-1199
(208) 888-0807
Mailing address
PO BOX 44440, BOISE, ID 83711-0440
(208) 888-1199
(208) 888-0807
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7164781-1206
UT
363AM0700X
Medical Physician Assistant
Primary
PA-986
ID
Other
Enumeration date
10/23/2008
Last updated
02/02/2016
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