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General NPI Number Information
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NPI Number | 1841353323
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Entity Type | Individual
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Provider Name | JANELLE M FROELICH O.D.
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12033 AGENCY RD
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City | PARKER
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State | AZ
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Zip | 85344-7718
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Country | US
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Telephone | 928-669-3286
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Fax |
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Provider Business Mailing Address
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Address Line | 560 HUGHES LN
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86406-8240
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Country | US
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Telephone | 928-505-5657
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1594
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License Number State | CO
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