Individual
PHILIP ELLIS FREEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
141 SNAFFLE RD., EDWARDS, CO 81632-2294
(970) 926-0314
(970) 926-3214
Mailing address
PO BOX 2294, EDWARDS, CO 81632-2294
(970) 926-0314
(970) 926-3214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01196245
—
CO
Enumeration date
02/07/2006
Last updated
11/15/2013
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