Roy Tyler Frizzell, M.d., Pllc

NPI #1992992911 in Boise, Idaho

Provider Information

NPI Number: 1992992911
Entity Type: Organization
Organization Name: Roy Tyler Frizzell, M.d., Pllc
Primary Specialty: Specialist
Enumeration Date: Oct 3, 2007
Last Updated: Oct 3, 2007

Practice Location

Address: 222 N. 2ND STREET
Address 2: SUITE 307
City: Boise
State: Idaho
ZIP Code: 83702-6131
Phone: (208) 344-1000

Authorized Official

Name: DR. ROY TYLER FRIZZELL, M.D., PH.D.
Title: PRESIDENT
Phone: (208) 344-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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