Individual
FREDRIC H KLOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Mailing address
13460 N 94TH DR STE J1, PEORIA, AZ 85381-4246
(623) 876-8816
(623) 298-0168
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20367
AZ
207RI0011X
Interventional Cardiology Physician
Primary
20367
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060017441
RAILROAD MEDICARE
AZ
05
—
158198
—
AZ
01
—
WCSKQ
SUN HEALTH GROUP #
AZ
Enumeration date
08/02/2005
Last updated
08/24/2020
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