Individual
FREDERICK LEROY PINEGAR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2806 W CACTUS RD, PHOENIX, AZ 85029-3364
(602) 607-4700
Mailing address
8444 N 90TH ST STE 100, SCOTTSDALE, AZ 85258-4437
(602) 248-8886
(602) 854-0504
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
259335
AZ
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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