NPI | 1750415436 |
---|---|
Former Legal Business Name | BRADLEY L FREILICH MD LLC |
Entity Type | Organization |
Authorized Contact | BRADLEY LAWRENCE FREILICH Owner 816-509-4999 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 101715) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-09-24 |