Provider Demographics
NPI:1861405623
Name:FRIVOLD, GEIR PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:GEIR
Middle Name:PAUL
Last Name:FRIVOLD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11201 BENTON ST
Mailing Address - Street 2:CARDIOLOGY 111C
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92357-1000
Mailing Address - Country:US
Mailing Address - Phone:909-583-6097
Mailing Address - Fax:909-777-3273
Practice Address - Street 1:11201 BENTON ST
Practice Address - Street 2:CARDIOLOGY 111C
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92357-1000
Practice Address - Country:US
Practice Address - Phone:909-583-6097
Practice Address - Fax:909-777-3273
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG47864207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine