Individual provider · Type 1 NPI

Forrest R. Fredline, DO

Surgery Physician · Nampa, ID

NPI number 1245493840 Active

Practice location

4400 E Flamingo Ave Ste 200
Nampa, ID 83687

Fax (208) 302-2725

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X5101017665 (MI)
Surgery Physician Primary 208600000XO-0712 (ID)

Surgery Physician: 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1245493840

Forrest R. Fredline, DO's National Provider Identifier is 1245493840, issued on Jul 3, 2008. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Nampa, ID. The record was last updated on Jul 21, 2022.