Individual
JEFFREY S FREYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8050 E HIGHWAY 191 STE 210, ODESSA, TX 79765-8615
(432) 640-6446
Mailing address
PO BOX 2129, ODESSA, TX 79760-2129
(432) 640-2408
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
307239
LA
207X00000X
Orthopaedic Surgery Physician
Primary
S8986
TX
208600000X
Surgery Physician
126060526
IL
Other
Enumeration date
04/12/2011
Last updated
12/15/2020
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