Individual provider · Type 1 NPI

Stephen J. Frelly, PA

Medical Physician Assistant · Meridian, ID

NPI number 1114966959 Active

Practice location

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457

Fax (208) 884-0858

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA495 (ID)

Medical Physician Assistant: Definition to come...

22 other providers at this address

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About NPI 1114966959

Stephen J. Frelly, PA's National Provider Identifier is 1114966959, issued on Jun 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Aug 13, 2026.