Organization
FREDERICK G. DETTMANN, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK GUSTAV DETTMANN M.D. (PRACTITIONER)
(480) 481-3076
Entity
Organization
Contact information
Practice address
4801 N 68TH ST, SCOTTSDALE, AZ 85251-1143
(480) 481-3076
(480) 481-9208
Mailing address
4801 N 68TH ST, SCOTTSDALE, AZ 85251-1143
(480) 481-3076
(480) 481-9208
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
25333
AZ
Other
Enumeration date
08/09/2015
Last updated
08/09/2015
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