| Bryan D Friedman DO LLC | |
|
7545 E Angus Dr Scottsdale AZ 85251-6409 | |
| (480) 664-0125 | |
| (512) 770-6052 |
| Full Name | Bryan D Friedman DO LLC |
|---|---|
| Speciality | Otolaryngology |
| Location | 7545 E Angus Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Bryan David Friedman (PRESIDENT) |
| Authorized Official Contact | 4804648000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan D Friedman DO LLC 7545 E Angus Dr Scottsdale AZ 85251-6409 Ph: (480) 664-0125 | Bryan D Friedman DO LLC 7545 E Angus Dr Scottsdale AZ 85251-6409 Ph: (480) 664-0125 |
| NPI Number | 1841603875 |
|---|---|
| Provider Enumeration Date | 06/06/2014 |
| Last Update Date | 04/03/2024 |
| Certification Date | 04/03/2024 |
| Medicare PECOS PAC ID | 5799909263 |
|---|---|
| Medicare Enrollment ID | O20140624002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841603875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | (NU) | Primary |
| Provider Name | Brian E Trainor |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1942292024 PECOS PAC ID: 6800823576 Enrollment ID: I20050727000844 |
| Provider Name | Joshua D Lyon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992996060 PECOS PAC ID: 8224121884 Enrollment ID: I20070912000632 |
| Provider Name | Bryan David Friedman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1982961850 PECOS PAC ID: 6608090170 Enrollment ID: I20140624002280 |
| Provider Name | Derick R Fenton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750673539 PECOS PAC ID: 0446551246 Enrollment ID: I20240618004171 |
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