Individual
DR. DENISE JEAN FREIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 N MORLEY ST STE A, MOBERLY, MO 65270-2334
(660) 263-1225
(660) 263-1255
Mailing address
300 N MORLEY ST STE A, MOBERLY, MO 65270-2334
(660) 263-1225
(660) 263-1255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2009034588
MO
207Q00000X
Family Medicine Physician
264
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07034
BLUE CROSS PROVIDER #
NE
01
—
200652429
UNITED HEALTHCARE
NE
05
—
200652429
—
NE
01
—
20065242968066
TRICARE PROVIDER #
NE
01
—
235965
MIDLANDS CHOICE PROVIDER
NE
01
—
P00226181
RAILROAD MEDICARE
NE
Enumeration date
03/29/2007
Last updated
12/01/2022
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