| NPI | 1982872388 |
|---|---|
| Doing Business As | DR FRIEDMAN DR WALTES |
| Entity Type | Organization |
| Authorized Contact | LARRY J FRIEDMAN Physician Co Owner 576-764-5142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 154550) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2159841) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |