Individual
DANIEL JOSEPH FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
129 RUE LOUIS XIV, LAFAYETTE, LA 70508-5738
(504) 488-8121
Mailing address
PO BOX 51293, LAFAYETTE, LA 70505-1293
(337) 456-5765
(337) 456-6657
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
016612
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1350478
—
LA
Enumeration date
07/25/2006
Last updated
07/16/2020
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