Individual
RODNEY BRENT FRITCHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1511
(602) 263-1637
Mailing address
P.O. BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD 019810E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640997
—
AZ
01
—
AZ0721640
PROVIDER IDENTIFICATION
AZ
Enumeration date
10/02/2006
Last updated
07/09/2007
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