Doctor Name: | DR. JOSHUA EDWARD FRIEND |
NPI Number: | 1891084448 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 0101252570 |
Business Practice Address: | 5 Regal Ct Little Rock, AR - 722111627 |
Business Phone Number: | 8172402055 |
Business Fax Number: | |
Mailing Address: | 5 Regal Ct, LITTLE ROCK |
State: | AR |
Postal Code: | 722111627 |
Phone Number: | 8172402055 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2011 |
NPI Last Update Date: | 10/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0101252570 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |