Individual
JOAN BLUM FRIDERICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
(541) 536-8047
Mailing address
PO BOX 3300, LA PINE, OR 97739-3300
(541) 536-3435
(541) 536-8047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6136
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD9616
—
AK
Enumeration date
12/01/2009
Last updated
03/05/2020
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