Individual
SCOTT ROY FRIEDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3219 CLIFTON AVE, SUITE 315, CINCINNATI, OH 45220-3027
(513) 624-0999
(513) 624-0934
Mailing address
4685 FOREST AVE, SUITE C, CINCINNATI, OH 45212-3397
(513) 853-4721
(513) 852-8525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OH3575686
OH
207RI0200X
Infectious Disease Physician
Primary
3575686
OH
207RI0200X
Infectious Disease Physician
OH3575686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2167935
—
OH
Enumeration date
04/20/2006
Last updated
11/19/2014
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