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Organization

ROY TYLER FRIZZELL, M.D., PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROY TYLER FRIZZELL M.D., PH.D. (PRESIDENT)
(208) 344-1000
Entity
Organization

Contact information

Practice address
222 N. 2ND STREET, SUITE 307, BOISE, ID 83702-6131
(208) 344-1000
(208) 344-1331
Mailing address
222 N. 2ND STREET, SUITE 307, BOISE, ID 83702-6131
(208) 344-1000
(208) 344-1331

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
M6824
ID

Other

Enumeration date
10/03/2007
Last updated
10/03/2007
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