Provider Demographics
NPI:1083998462
Name:FRESCHOLTZ, TOBY (MD)
Entity Type:Individual
Prefix:
First Name:TOBY
Middle Name:
Last Name:FRESCHOLTZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 N VIRGINIA ST # MS -1332
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:775-682-8175
Mailing Address - Fax:775-327-2009
Practice Address - Street 1:1664 N VIRGINIA ST # MS 153
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-5241
Practice Address - Country:US
Practice Address - Phone:775-784-4414
Practice Address - Fax:775-682-7902
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA840847207V00000X
NV16125207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology