Friedman, Stephen M

Friedman, Stephen M is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd. Box 1337, Gallup NM 87301-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Friedman, Stephen M can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E. Nizhoni Blvd. Box 1337 Gallup NM 87301-1337
Fax: (505) 722-1192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00014260 Washington

Profile Details

NPI number 1669406963
LBN Legal business name Friedman, Stephen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 29th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669406963 NPPES
Arizona MEDICAID 911968
Arizona MEDICAID 88078221

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