JAMES P FREDENBERG MD PLLC
Anesthesiologist Assistant at San Francisco St, Flagstaff, AZ

License number
Arizona 18614
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: JAMES P FREDENBERG MD
Title: OWNER/ANESTHESIOLOGIST
Phone: (928) 607-9395
Address
Address 2
1020 N San Francisco St SUITE 100, Flagstaff, AZ 86001
8970 E Raintree Dr SUITE 100, Scottsdale, AZ 85260
National Provider ID: 1104128248
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAMES P. FREDENBERG, M.D., P.L.L.C

2870 W Kiltie Ln, Flagstaff, AZ 86001

Registration:
Jan 27, 2010
State ID:
P-1580131-0
Expiration:
PERPETUAL
Manager:
James P Fredenberg (Manager), 2870 W Kiltie Ln, Flagstaff, AZ 86001 (Physical)
Agent:
James P Fredenbert,2870 W Kiltie Ln, Flagstaff, AZ 86001 (Physical)

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