| Doctor Name: | JOHN C FRIEDL |
| NPI Number: | 1518014729 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | N-8164 |
| Business Practice Address: | 205 E Ray Fine Blvd Suite 6 Roland, OK - 749545380 |
| Business Phone Number: | 9185036235 |
| Business Fax Number: | 9183980637 |
| Mailing Address: | 12605 S Elwood Ave, JENKS |
| State: | OK |
| Postal Code: | 740372814 |
| Phone Number: | 9182960654 |
| Fax Number: | 9183980637 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 03/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | N-8164 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |