Individual
MR. ALLEN MICHAEL FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.
Contact information
Practice address
JICARILLA APACHE HEALTH CARE CENTER, 12000 STONE LAKE ROAD, DULCE, NM 87528
(505) 759-3291
Mailing address
HC 75 BOX 189, CHAMA, NM 87520-9712
(505) 756-7219
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
HSZ196
MEDICARE PART B
NM
Enumeration date
10/25/2006
Last updated
05/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us