IndividualActive
Stefanie Fry, MD
NPI 1881649572 · Cardiovascular Disease Physician · Boise, ID
Provider details
- NPI number
- 1881649572
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M7787 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
300 E Jefferson St
Suite 101
Boise, ID 83712-6246
Phone: (208) 322-1680
Fax: (208) 322-1695
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2011-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.