John A. Fries in Santa Rosa - Family Medicine

John A. Fries - NPI 1740364736

John A. Fries is a Family Medicine in Santa Rosa, California. John A. Fries practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for John A. Fries is 1740364736. The last update date is 2007-07-08.

John A. Fries's current location address is 401 Bicentennial Way, Santa Rosa, California. You can contact this provider via phone number 7075714000. The mailing address for John A. Fries is 401 Bicentennial Way, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John A. Fries
Address 401 Bicentennial Way, Santa Rosa, California
Phone Number 7075714000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740364736
Provider Enumeration Date 2006-10-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 401 Bicentennial Way
City Santa Rosa
State California (CA)
Post Code 954032149
Phone Number 7075714000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No G32332
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G323320 CA --

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FAQs about John A. Fries

What is the unique provider identifier assigned to John A. Fries?

The John A. Fries has been issued the NPI (National Provider Identifier) 1740364736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John A. Fries?

The John A. Fries is physically situated at 401 Bicentennial Way, in the city of Santa Rosa, state of CA, with the postal code 954032149.

What is the John A. Fries's specialty and taxonomy code?

The John A. Fries's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

On what date did the John A. Fries receive the assignment of its 1740364736 from the Centers for Medicare & Medicaid Services?

The John A. Fries was issued its 1740364736 by the Centers for Medicare & Medicaid Services on 2006-10-25.

As of what date were the John A. Fries's details last updated?

The information pertaining to the John A. Fries, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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