Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 65021 | AZ |
NPI | 1003290867 |
---|---|
Provider Name | Dr. Daniel Mark Frendl |
First Address | Scottsdale, AZ 85259-5499 |
Second Address | Scottsdale, AZ 85259-5499 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2015 |
Last Update Date | 10/02/2022 |