DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. FREDERICK STUART MITTLEMAN M.D.

MEDICARE: DR. FREDERICK STUART MITTLEMAN M.D.
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
12084P0800XPsychiatry Physician04-15284KS
22084P0800XPsychiatry PhysicianR2C29MO
32084P0800XPsychiatry Physician12229NE
42084P0800XPsychiatry Physician22730CO
52084P0800XPsychiatry PhysicianD13793MD
62084P0800XPsychiatry Physician0101022130VA
72084P0800XPsychiatry Physician036762CT
82084P0800XPsychiatry Physician36080AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1610289OTHERKSBLUE SHIELD OF KANSAS
209752017OTHERMOBLUE SHIELD OF KC
3662060001OTHERTRICARE

General Provider Information

NPI Number : 1649293515
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK STUART MITTLEMAN M.D.
Provider Business Mailing Address
First Line : 127 NORTH FIFTH AVE.
Second Line :
City : TUCSON
State : AZ
Zip : 85701
Country : US
Telephone Number : 520-202-1758
Fax Number : 520-882-0528
Provider Business Practice Location Address
First Line : 127 S 5TH AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85701-2005
Country : US
Telephone Number : 520-202-1888
Fax Number : 520-202-1889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 10/26/2011

Similar Medicare Providers

1891762290 — MS. MARTA VICTORIA NEWMAN LPC
Practice Location Address:
127 S 5TH AVE
TUCSON, AZ
85701-2005
Practice Phone: 520-202-1818
Practice Fax: 520-202-1718
1164467825 — PETER BURNHAM
Practice Location Address:
127 S 5TH AVE
TUCSON, AZ
85701-2005
Practice Phone: 520-327-4505
Practice Fax: 520-202-1889
1124063805 — LAUREL-HEATHER MILDEN
Practice Location Address:
127 S 5TH AVE
TUCSON, AZ
85701-2005
Practice Phone: 520-327-4505
Practice Fax: 520-202-1889
1922044817 — REBECCA LEE MCLANE
Practice Location Address:
127 S 5TH AVE
TUCSON, AZ
85701-2005
Practice Phone: 520-327-4505
Practice Fax: 520-202-1889
1568498814 — JEAN PERRY
Practice Location Address:
127 S 5TH AVE
TUCSON, AZ
85701-2005
Practice Phone: 520-327-4505
Practice Fax: 520-202-1889
1275566705 — GERALDINE FRANCES YARNE
Practice Location Address:
127 S 5TH AVE
TUCSON, AZ
85701-2005
Practice Phone: 520-202-1758
Practice Fax: 520-202-1703

Directions to “ DR. FREDERICK STUART MITTLEMAN M.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.