Individual
RONALD L FRIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5044
(505) 292-2220
(505) 292-0920
Mailing address
1235 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5044
(505) 292-2220
(505) 292-0920
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
78150
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180001581
MEDICARE RAILROAD
—
01
—
201003253
PRESBYTERIAN HEALTH PLAN
—
01
—
NM000975
BLUE CROSS BLUE SHIELD
—
Enumeration date
08/30/2006
Last updated
06/03/2008
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