Organization
JAMES P FREDENBERG MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P FREDENBERG MD (OWNER/ANESTHESIOLOGIST)
(928) 607-9395
Entity
Organization
Contact information
Practice address
1020 N SAN FRANCISCO ST, SUITE 100, FLAGSTAFF, AZ 86001-3281
(480) 609-9300
(480) 609-9350
Mailing address
8970 E RAINTREE DR, SUITE 100, SCOTTSDALE, AZ 85260-7300
(480) 609-9300
(480) 609-9350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18614
AZ
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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