NPI 1194831339

Fazzio Clinic PC

Organisation Surgery Physician Boise, ID

Practice location

Address: 7301 W Emerald St STE 102, Boise, ID 83704-8688
Phone: (208) 321-8600
Fax: (208) 321-8626

Authorised official

Name: Frank J Fazzio
Title: President / Owner
Phone: (208) 321-8600

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Idaho →

Registry record

NPI: 1194831339
Entity type: Organization
NPI issued: 21 Aug 2006
Record last updated: 30 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.