FORREST R FREDLINE

NAMPA, ID
NPI1245493840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: ID  O-0712)
Additional Taxonomies208600000X Surgery
(Licence: MI  5101017665)
Enumeration Date2008-07-03
Last Update Date2022-07-21
Business Address
Dr. FORREST R FREDLINE DO
4400 E FLAMINGO AVE STE 200
NAMPA, ID 83687
Phone number: 208-302-2700
Mailing Address
Dr. FORREST R FREDLINE DO
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-2700
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