Healthcare Provider Details

I. General information

NPI: 1487066411
Provider Name (Legal Business Name): JASON HUNTER FRISCHHERTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2014
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 MOBILE INFIRMARY BLVD
MOBILE AL
36607-3510
US

IV. Provider business mailing address

168 MOBILE INFIRMARY BLVD
MOBILE AL
36607-3510
US

V. Phone/Fax

Practice location:
  • Phone: 251-433-1895
  • Fax:
Mailing address:
  • Phone: 251-433-1895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD.38395
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberT-2797
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD.38395
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: