Suzie Friedman, DVM
Individual provider Active NPI Veterinarian · Eagle River, AK
NPI 1508149402 · NPPES record last updated Sep 27, 2011
Key facts
- NPI
- 1508149402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Veterinarian 174M00000X
- License
- 661 (AK)
- Practice address
- 11710 Business Blvd
Eagle River, AK 99577-7724 - Phone
- (907) 694-3800
- NPI assigned
- Sep 27, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 661 | AK | MD | Veterinarian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 661 | AK | Yes |
Addresses
Primary practice location
11710 Business Blvd
Eagle River, AK 99577-7724
Mailing address
11710 Business Blvd
Eagle River, AK 99577-7724
Phone (907) 694-3800
Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.