Individual
DR. DANIEL JOSEPH FREDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 307-0682
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 307-0682
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
10612
MT
2084P0800X
Psychiatry Physician
Primary
11948
AZ
2084P0800X
Psychiatry Physician
7555A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254524
—
AZ
Enumeration date
09/20/2006
Last updated
02/02/2012
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