Doctor Name: | MR. EDWARD B FRIEDMAN |
NPI Number: | 1821006990 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 000602 |
Business Practice Address: | 1013 1st St Redfield, IA - 502331007 |
Business Phone Number: | 5158332301 |
Business Fax Number: | 5158332108 |
Mailing Address: | Po Box C, 1013 First Street REDFIELD |
State: | IA |
Postal Code: | 502330903 |
Phone Number: | 5158332301 |
Fax Number: | 5158332108 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 000602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |