Individual
FRED BARNETT LIPOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 N PLAZA DR, APACHE JUNCTION, AZ 85120-5501
(480) 983-0065
Mailing address
16623 N 59TH PL, SCOTTSDALE, AZ 85254-1251
(602) 293-3550
Taxonomy
Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
5672
AZ
2084P0005X
Neurodevelopmental Disabilities Physician
5672
AZ
2084P0015X
Psychosomatic Medicine Physician
5672
AZ
2084P0800X
Psychiatry Physician
5672
AZ
2084P0802X
Addiction Psychiatry Physician
5672
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
5672
AZ
2084P0805X
Geriatric Psychiatry Physician
5672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237231
—
AZ
Enumeration date
11/21/2005
Last updated
12/19/2011
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