Individual
MR. ALEXANDER BORIS FRID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1100 N PALM CANYON DR, SUITE 111, PALM SPRINGS, CA 92262-4414
(760) 325-6530
(760) 325-7866
Mailing address
1100 N PALM CANYON DR, SUITE 111, PALM SPRINGS, CA 92262-4414
(760) 325-6530
(760) 325-7866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A6891
CA
207QA0505X
Adult Medicine Physician
Primary
20A6891
CA
208D00000X
General Practice Physician
20A6891
CA
Other
Enumeration date
11/27/2006
Last updated
10/27/2010
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