NPI 1477866606

Idaho Allergy L.L.C.

Organisation Allergy Physician Eagle, ID

Practice location

Address: 379 E Shore Dr Suite 100, Eagle, ID 83616-5410
Phone: (208) 938-3443
Fax: (208) 938-3553

Authorised official

Name: Stephen B Fritz
Title: President
Phone: (208) 938-3443

Registered specialties

Allergy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KA0200X Licence M103 (ID)

Other Allergy & Immunology providers in Idaho →

Registry record

NPI: 1477866606
Entity type: Organization
NPI issued: 16 Jul 2010
Record last updated: 17 Jun 2016

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.