Individual
FREDERICK T WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
PO BOX 10760, WESTMINSTER, CA 92685-0760
(800) 396-3437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036141638
IL
207P00000X
Emergency Medicine Physician
23693
SC
207P00000X
Emergency Medicine Physician
Primary
31153
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236934
—
SC
Enumeration date
06/07/2006
Last updated
05/24/2023
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