JEREMY DANIEL FRIX

MERIDIAN, ID
NPI1164450862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-552)
Enumeration Date2006-06-29
Last Update Date2017-02-20
Business Address
-- JEREMY DANIEL FRIX PA
1648 NW 1ST STREET
MERIDIAN, ID 83642
Phone number: 208-888-9393
Mailing Address
-- JEREMY DANIEL FRIX PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6522