| NPI | 1104128248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P FREDENBERG Owner/Anesthesiologist 928-607-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 18614) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |