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Individual

FRANK GERHARDT BIEBERLY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
US HWY 160 & NAVAJO ROUTE 25 - RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5000
(505) 368-6431
Mailing address
HCR 6100 BOX 30, TEECNOSPOS, AZ 86514
(928) 656-5000
(505) 368-6431

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1275
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
48280771
NM
Enumeration date
07/13/2006
Last updated
04/29/2008
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