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Individual

DR. JACK A FRIEDLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5410 N SCOTTSDALE ROAD, SUITE E200, PARADISE VALLEY, AZ 85253-5945
(480) 905-1700
(480) 505-6429
Mailing address
5233 E ARROYO RD, PARADISE VALLEY, AZ 85253-3321
(602) 617-0000
(602) 952-1001

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
5939
AZ
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
5939
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201252
AZ
01
AZ0779280
BC OF ARIZONA ID NUMBER
AZ
Enumeration date
10/03/2005
Last updated
05/25/2016
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