Organization
ROGER A. FREEMAN, M.D, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER A. FREEMAN M.D. (PRESIDENT)
(619) 819-7100
Entity
Organization
Contact information
Practice address
7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
(619) 819-7100
(619) 819-7101
Mailing address
7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
(619) 819-7100
(619) 819-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G29093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G290930
BLUE SHIELD
CA
05
—
00G290931
—
CA
Enumeration date
07/31/2006
Last updated
02/01/2009
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