Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD425113 | PA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 33964 | SC |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD.202405 | LA |
NPI | 1053528752 |
---|---|
Provider Name | Richard F. Frisch JR. |
First Address | Mt Pleasant, SC 29464-4183 |
Second Address | Mt Pleasant, SC 29464-4183 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 19/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04989846 | (05) | LA |
1314081 | (05) | LA |