Freedom Park Medical Services a Medical Corporation
NPI #1679066476 in Ridgecrest, California
Provider Information
- NPI Number
- 1679066476
- Entity Type
- Organization
- Organization Name
- Freedom Park Medical Services a Medical Corporation
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jun 7, 2018
- Last Updated
- Oct 28, 2019
Practice Location
- Address
- 1081 N CHINA LAKE BLVD
- City
- Ridgecrest
- State
- California
- ZIP Code
- 93555-3130
- Phone
- (469) 401-2386
Authorized Official
- Name
- KATHLEEN KONDAS
- Title
- VP PROVIDER ENROLLMENT
- Phone
- (973) 251-1132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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