person
Mr. Allen Michael Frey, RT
Radiography Radiologic Technologist in Dulce, New Mexico
NPI 1629152764

Allen Michael Frey is a Radiography Radiologic Technologist based in Chama, NM and is specialized in Radiography. Allen Michael Frey practices in Dulce, NM and has the professional credentials of RT. The NPI Number for Allen Michael Frey is 1629152764 and holds a License No. (New Mexico).

The current practice location address for Allen Michael Frey is Jicarilla Apache Health Care Center, Dulce, NM and can be reached out via phone at 505-759-3291.

Location: Jicarilla Apache Health Care Center, Dulce, NM, 87520-9712
person
Provider Profile Details
NPI Number
1629152764
Provider Name
Allen Michael Frey
Credential
RT
Provider Entity Type
Individual
Gender
Male
Address
Jicarilla Apache Health Care Center, Dulce, NM, 87520-9712
Phone Number
505-759-3291
Fax Number
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000K3526 05 NM
HSZ196 01 NM MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
Jicarilla Apache Health Care Center
City
State
Zip
87528
Phone Number
505-759-3291
Fax Number
person
Provider Business Mailing Address Details
Address
Jicarilla Apache Health Care Center
City
State
Zip
87528
Phone Number
505-759-3291
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
()
Definition
Definition to come...
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