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FAZZIO CLINIC

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Company Details

Name: FAZZIO CLINIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 04 Apr 2003 (22 years ago)
Entity Number: 203665
Place of Formation: IDAHO
File Number: 0000203665
ZIP code: 83634
County: Ada County
Mailing Address: 2802 N TEN MILE RD KUNA, ID 83634

National Provider Identifier

NPI Number:
1194831339

Authorized Person:

Name:
FRANK J FAZZIO JR.
Role:
PRESIDENT / OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2083218626

Filing

Filing Name Filing Number Filing date
Initial Filing 0000203665 2003-04-04

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State