Individual
DR. ERIC JONATHAN FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101252730
VA
2085R0001X
Radiation Oncology Physician
D0055111
MD
390200000X
Student in an Organized Health Care Education/Training Program
0101252730
VA
Other
Enumeration date
12/14/2005
Last updated
03/10/2021
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