Individual
JOHN R. FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7930 FROST ST, SUITE 101, SAN DIEGO, CA 92123-2737
(858) 565-0104
(858) 565-0194
Mailing address
7930 FROST ST, SUITE 101, SAN DIEGO, CA 92123-2737
(858) 565-0104
(858) 565-0194
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G50392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G503920
—
CA
Enumeration date
07/31/2006
Last updated
07/08/2007
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