Individual
DR. JONATHAN D FRIEND
Active
Individual
DR. JONATHAN D FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
12707
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100105450A
—
OK
01
—
4055199
AETNA
OK
01
—
721545605-001
BCBS
OK
Enumeration date
09/13/2005
Last updated
12/04/2007
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