Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Idaho Allergy LLC

Organization Allergy Physician · NPI 1477866606

Idaho Allergy LLC is an Allergy Physician in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2010.

Licensed in
ID
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

379 E Shore Dr Ste 100
Eagle, ID 83616-5410
Phone: (208) 938-3443
Fax: (208) 938-3553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X · Licence M103 (ID)

Record details

NPI number1477866606
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Fritz — President · (208) 938-3443
NPI enumeratedJuly 16, 2010
Last updated in NPPESJune 17, 2016
Mailing address379 E Shore Dr, Suite 100, Eagle, ID 83616-5410

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