MEDICARE: DAVID JAY FRIEDMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	30474	AZ

General Provider Information

NPI Number	:	1215931050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JAY FRIEDMAN MD

Provider Business Mailing Address
First Line	:	1521 E TANGERINE RD STE 225
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85755-6218
Country	:	US
Telephone Number	:	520-492-3271
Fax Number	:	520-492-3262

Provider Business Practice Location Address
First Line	:	1521 E TANGERINE RD STE 225
Second Line	:
City	:	ORO VALLEY
State	:	AZ
Zip	:	85755-6218
Country	:	US
Telephone Number	:	520-492-3271
Fax Number	:	520-492-3262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	11/27/2024

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