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Organization subpart
No

Provider details

NPI number
Authorized official
MR. GERALD RAY FRIESTMAN CRT (RESPIRATORY THERAPIST)
(505) 332-9171
Entity
Organization

Contact information

Practice address
1405 PROPPS ST NE, ALBUQUERQUE, NM 87112-4251
(505) 332-9171
(505) 332-9171
Mailing address
1405 PROPPS ST NE, ALBUQUERQUE, NM 87112-4251
(505) 332-9171
(505) 332-9171

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03097555007
NM

Other

Enumeration date
03/20/2007
Last updated
08/22/2020
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