Fazzio Clinic Pc is a Surgery in Boise, Idaho. Fazzio Clinic Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Fazzio Clinic Pc is 1194831339. The last update date is 2010-06-30.
Fazzio Clinic Pc's current location address is 7301 W Emerald St, Boise, Idaho. You can contact this provider via phone number 2083218600 and fax number 2083218626. The mailing address for Fazzio Clinic Pc is 7301 W Emerald St, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fazzio Clinic Pc |
|---|---|
| Address | 7301 W Emerald St, Boise, Idaho |
| Phone Number | 2083218600 |
| Fax Number | 2083218626 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fazzio J Frank |
| Credentials | MD |
| Telephone Number | 2083218600 |
NPI Number Detail
| NPI Number | 1194831339 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2010-06-30 |
Provider Mailing Address Detail
| Address | 7301 W Emerald St |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837048688 |
| Phone Number | 2083218600 |
| Fax Number | 2083218626 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8H914 | ID | BLUE CROSS | |
| 1194831339 | ID | NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Fazzio Clinic Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Fazzio Clinic Pc has been assigned the NPI (National Provider Identifier) 1194831339. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Fazzio Clinic Pc's facilities are situated?
The facilities of Fazzio Clinic Pc are physically located at the following address: 7301 W Emerald St, Boise, ID, 837048688.
What is the Fazzio Clinic Pc's specialty and taxonomy code?
The Fazzio Clinic Pc's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When did Fazzio Clinic Pc receive its 1194831339 assignment?
The Fazzio Clinic Pc was assigned its 1194831339 on 2006-08-21, which is the date when this unique identifier was issued to the organization.
As of what date were the Fazzio Clinic Pc's details last updated?
The information pertaining to the Fazzio Clinic Pc, including its address, specialty, and other details, was most recently updated on 2010-06-30.