MARK FREDERICK, DO

Anesthesiology

Active Individual
NPI: 1063407609

Practice Address

1445 CHRISTY DR
Jefferson City, MO 65101

Phone: (573) 636-3483

Specialties

Specialty Code Primary License
Anesthesiology 207L00000X Yes R8B46 (MO)

Frequently Asked Questions

NPI 1063407609 is the National Provider Identifier for MARK FREDERICK, DO, a Anesthesiology provider located in Jefferson City, MO. This NPI was enumerated on September 20, 2005.
MARK FREDERICK, DO practices at 1445 CHRISTY DR, Jefferson City, MO 65101.

Quick Facts

NPI
1063407609
Type
Individual
Enumerated
Sep 20, 2005
Last Updated
Oct 15, 2007

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