person
Jeffrey Alan Frederick, PA-C
Medical Physician Assistant in Norman, Oklahoma
NPI 1093743957

Jeffrey Alan Frederick is a Medical Physician Assistant based in Oklahoma City, OK and is specialized in Medical. Jeffrey Alan Frederick practices in Norman, OK and has the professional credentials of PA-C. The NPI Number for Jeffrey Alan Frederick is 1093743957 and holds a License No. PA 936 (Oklahoma).

The current practice location address for Jeffrey Alan Frederick is 3650 W Rock Creek Rd, Norman, OK and can be reached out via phone at 405-364-2666 and via fax at 405-364-9627. You can also correspond with Jeffrey Alan Frederick through the mailing address at 4200 W MEMORIAL RD, OKLAHOMA CITY, OK - 73120-9350 (mailing address contact number: 405-755-1930).

Location: 3650 W Rock Creek Rd, Norman, OK, 73120-9350
person
Provider Profile Details
NPI Number
1093743957
Provider Name
Jeffrey Alan Frederick
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3650 W Rock Creek Rd, Norman, OK, 73120-9350
Phone Number
405-364-2666
Fax Number
405-364-9627
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100189640 A 05 OK
institution
Provider Business Practice Location Address Details
Address
3650 W Rock Creek Rd
City
State
Zip
73072-2202
Phone Number
405-364-2666
Fax Number
405-364-9627
person
Provider Business Mailing Address Details
Address
3650 W Rock Creek Rd
City
State
Zip
73072-2202
Phone Number
405-364-2666
Fax Number
405-364-9627
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 936 (Oklahoma)
Definition
Definition to come...
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