Dr. Eric Detlef Frey, M.D.
Internal Medicine, Gastroenterology in Ridgecrest, CA. Individual provider (NPI-1).
NPI number1891091682
StatusActive
Last updated in NPPESMay 17, 2021
Details
- NPI
- 1891091682
- Entity type
- Individual (NPI-1)
- Name
- Dr. Eric Detlef Frey
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 27, 2011
- Certification date
- May 17, 2021
- Last updated
- May 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | A116953 | CA | Yes |
| 207R00000X | Internal Medicine | A116953 | CA |
Practice location
1041 N China Lake Blvd Ste BRidgecrest, CA 93555-3183
Phone 760-446-0121 · Fax 760-446-0734
Mailing address
1081 N China Lake BlvdRidgecrest, CA 93555-3130
Phone 760-446-0121 · Fax 760-446-0734
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