Provider Demographics
NPI:1679116545
Name:ALBERT R. FRITZ III D.O. P.L.L.C.
Entity Type:Organization
Organization Name:ALBERT R. FRITZ III D.O. P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:520-573-0993
Mailing Address - Street 1:101 W AJO WAY
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85713-6036
Mailing Address - Country:US
Mailing Address - Phone:520-573-0993
Mailing Address - Fax:520-573-0440
Practice Address - Street 1:101 W AJO WAY
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-6036
Practice Address - Country:US
Practice Address - Phone:520-573-0993
Practice Address - Fax:520-573-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care