Provider Demographics
NPI:1710653753
Name:FRITZ, ROBERT PAUL JR
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:PAUL
Last Name:FRITZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4150 W PEORIA AVE STE 222
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-3956
Mailing Address - Country:US
Mailing Address - Phone:602-638-1470
Mailing Address - Fax:602-638-3281
Practice Address - Street 1:4150 W PEORIA AVE STE 222
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85029-3956
Practice Address - Country:US
Practice Address - Phone:602-638-1470
Practice Address - Fax:602-638-3281
Is Sole Proprietor?:No
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker