Individual
CONRAD J. FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4550 SARATOGA AVE, SAN DIEGO, CA 92107-2340
(619) 517-8171
Mailing address
4550 SARATOGA AVE, SAN DIEGO, CA 92107-2340
(619) 517-8171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A43087
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A430870
—
CA
Enumeration date
02/13/2007
Last updated
07/09/2007
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