NPI 1902821796 · live from the CMS NPI Registry
Fred J Fricke, MD
Internal Medicine, Gastroenterology in Elko, NV. National Provider Identifier 1902821796, active.
NPI record
| NPI | 1902821796 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 247 Bluffs Ave Ste 102, Elko, NV 89801 |
| Practice phone | 775-738-0500 |
| Mailing address | Po Box 1598, Elko, NV 89803 |
| Enumerated | July 13, 2006 |
| Last updated | March 1, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 3167 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.