Individual
JOHN K FRISCHKNECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N 500 W, SUITE 101, PROVO, UT 84604-3305
(801) 373-4366
(801) 429-8191
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 429-8180
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1569301205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107006607101
IHC HEALTHPLANS
UT
01
—
35686
DMBA
UT
01
—
7818
PEHP
UT
05
—
870281028000
—
UT
01
—
870281028FR1
EMIA
UT
01
—
QM0000001601
ALTIUS
UT
Enumeration date
05/03/2006
Last updated
10/18/2007
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