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Contact Information

DENNIS L FREW, DO
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ86504
 Phone: 928-729-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DENNIS L FREW · (Male)

NPI Number 1215025820
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/10/2006
Last updated 11/08/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 38760
  • GA Medicaid 000630792A
  • GA Other 040009455 RR PROVIDER #
Hospital affiliation(s)
  • FORT DEFIANCE INDIAN HOSPITAL - (Acute Care)
    PO BOX 649
    FORT DEFIANCE, AZ 86504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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