Doctor Name: | DR. BRUCE MICHAEL FREEDMAN |
NPI Number: | 1245404524 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 351 |
Business Practice Address: | 6719 Governor Gc Peery Hwy Ste 1900 Richlands, VA - 246410349 |
Business Phone Number: | 2769649633 |
Business Fax Number: | |
Mailing Address: | Po Box 1304, RICHLANDS |
State: | VA |
Postal Code: | 246411304 |
Phone Number: | 2769649633 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 04/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 351 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |