Doctor Name: | ERIC KENT FRYKMAN |
NPI Number: | 1205863909 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G85917 |
Business Practice Address: | 7117 Brockton Ave Riverside, CA - 925062658 |
Business Phone Number: | 9517823715 |
Business Fax Number: | 9517843275 |
Mailing Address: | 3660 Arlington Ave, RIVERSIDE |
State: | CA |
Postal Code: | 925063912 |
Phone Number: | 9517823715 |
Fax Number: | |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 09/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G85917 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |