Individual
EDUARDO AUGUSTO FONSECA FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W FRANCIS ST, SUITE 200, NORTH PLATTE, NE 69101-0620
(308) 696-8280
(308) 696-8279
Mailing address
611 W FRANCIS ST, SUITE 200, NORTH PLATTE, NE 69101-0620
(308) 696-8280
(308) 696-8279
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
24990
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025588700
—
NE
Enumeration date
10/12/2006
Last updated
09/13/2012
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