Individual
BENJAMIN FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 CIRCADIAN WAY, SUITE A, SANTA ROSA, CA 95407-5416
(707) 526-2027
(707) 526-2096
Mailing address
2301 CIRCADIAN WAY, SUITE A, SANTA ROSA, CA 95407-5416
(707) 526-2027
(707) 526-2096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A66856
CA
207RN0300X
Nephrology Physician
Primary
MED-PHYS-LIC-88487
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A66856
—
CA
Enumeration date
05/12/2006
Last updated
05/18/2021
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