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Individual

JOHN C FRIEDL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
205 E RAY FINE BLVD, SUITE 6, ROLAND, OK 74954-5380
(918) 503-6235
(918) 398-0637
Mailing address
12605 S ELWOOD AVE, JENKS, OK 74037-2814
(918) 296-0654
(918) 398-0637

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
N-8164
AR
208D00000X
General Practice Physician
N-8164
OK
363AM0700X
Medical Physician Assistant
N-8164
AR

Other

Enumeration date
01/03/2007
Last updated
03/07/2012
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