Doctor Name: | MATTHEW J FRYBERGER |
NPI Number: | 1942427646 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 5367 |
Business Practice Address: | 10320 W Mcdowell Rd Suite N1447 Avondale, AZ - 853924863 |
Business Phone Number: | 6239074400 |
Business Fax Number: | 6239074610 |
Mailing Address: | 3050 N Litchfield Rd, Suite 100 GOODYEAR |
State: | AZ |
Postal Code: | 853957804 |
Phone Number: | 6239355505 |
Fax Number: | 6239355551 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 05/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5367 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |