Provider Demographics
NPI:1316237944
Name:FRIEDMAN, GARRETT G (MD)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:G
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 N TENAYA WAY STE 510
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0448
Mailing Address - Country:US
Mailing Address - Phone:702-962-2300
Mailing Address - Fax:
Practice Address - Street 1:3150 N TENAYA WAY STE 510
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0448
Practice Address - Country:US
Practice Address - Phone:702-962-2300
Practice Address - Fax:702-962-2301
Is Sole Proprietor?:No
Enumeration Date:2011-04-16
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17352208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery