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Individual

STEPHEN M FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1192
Mailing address
516 E. NIZHONI BLVD., BOX 1337, GALLUP, NM 87301-1337
(505) 722-1000
(505) 722-1192

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00014260
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
88078221
NM
05
911968
AZ
Enumeration date
07/10/2006
Last updated
10/29/2011
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