Organization
FRED J FRICKE MD AND ASSOCIATES
Active
Other names
Nevada Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED J FRICKE M.D. (OWNER / PRESIDENT)
(775) 738-0500
Entity
Organization
Contact information
Practice address
247 BLUFFS AVE STE 102, ELKO, NV 89801-2488
(775) 738-0500
(775) 738-0555
Mailing address
PO BOX 1598, ELKO, NV 89803-1598
(775) 735-0500
(775) 738-0555
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3167
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002016010
—
NV
Enumeration date
07/13/2006
Last updated
11/03/2020
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