Individual
DAVID P FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-2099
(541) 267-5151
(541) 266-4501
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO182144
OR
207L00000X
Anesthesiology Physician
OL60288326
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500727826
—
OR
Enumeration date
03/29/2012
Last updated
01/08/2021
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