Individual
DR. KEITH A FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13737 N 92ND ST, SCOTTSDALE, AZ 85260-7434
(480) 301-8000
Mailing address
13737 N 92ND ST, SCOTTSDALE, AZ 85260-7434
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27331
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080137237
RAILROAD MEDICARE
AZ
05
—
459075
—
AZ
01
—
86080015085260A025
TRIWEST
AZ
Enumeration date
11/17/2005
Last updated
10/07/2010
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