MEDICARE: ALBERT R. FRITZ III D.O. P.L.L.C.

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1679116545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT R. FRITZ III D.O. P.L.L.C.

Provider Business Mailing Address
First Line	:	101 W AJO WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-6036
Country	:	US
Telephone Number	:	520-573-0993
Fax Number	:	520-573-0440

Provider Business Practice Location Address
First Line	:	101 W AJO WAY
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85713-6036
Country	:	US
Telephone Number	:	520-573-0993
Fax Number	:	520-573-0440

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALBERT ROBERT FRITZ III
Credential	:	DO
Telephone Number	:	520-573-0993

Provider Enumeration Date	:	10/23/2019
Last Update Date	:	10/23/2019

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