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Individual

BERTRAM MARTIN FROEHLY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2615
(951) 782-6218
(951) 784-3266
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3912
(951) 782-6218
(951) 784-3266

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G32976
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ3188Z7Z
GROUP SITE NUMBER
Enumeration date
11/10/2005
Last updated
12/02/2011
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