Individual
DR. ERIC DETLEF FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1041 N CHINA LAKE BLVD STE B, RIDGECREST, CA 93555-3183
(760) 446-0121
(760) 446-0734
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-0121
(760) 446-0734
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A116953
CA
207RG0100X
Gastroenterology Physician
Primary
A116953
CA
Other
Enumeration date
01/27/2011
Last updated
05/17/2021
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