| Doctor Name: | DR. JACK A FRIEDLAND |
| NPI Number: | 1417944661 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 5939 |
| Business Practice Address: | 5410 N Scottsdale Road Suite E200 Paradise Valley, AZ - 852535945 |
| Business Phone Number: | 4809051700 |
| Business Fax Number: | 4805056429 |
| Mailing Address: | 5233 E Arroyo Rd, PARADISE VALLEY |
| State: | AZ |
| Postal Code: | 852533321 |
| Phone Number: | 6026170000 |
| Fax Number: | 6029521001 |
| NPI Enumeration Date: | 10/03/2005 |
| NPI Last Update Date: | 05/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2082S0099X |
| License Number: | 5939 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Plastic Surgery |
| Taxonomy Specialization: | Plastic Surgery Within the Head and Neck |
| Taxonomy Definition: | A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |