person
Dr. Tim E. Frederick, MD
Neurology Physician in Springfield, Missouri
NPI 1295803047

Tim E. Frederick is a Neurology Physician based in Springfield, MO and is specialized in Neurology. Tim E. Frederick practices in Springfield, MO and has the professional credentials of MD. The NPI Number for Tim E. Frederick is 1295803047 and holds a License No. 2004004160 (Missouri).

The current practice location address for Tim E. Frederick is 1965 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-9123 and via fax at 417-820-3935.

Location: 1965 S Fremont Ave, Springfield, MO, 65801-2580
person
Provider Profile Details
NPI Number
1295803047
Provider Name
Tim E. Frederick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1965 S Fremont Ave, Springfield, MO, 65801-2580
Phone Number
417-820-9123
Fax Number
417-820-3935
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
208757807 05 MO
P00141755 01 RAILROAD MEDICARE
431560263024 01 TRICARE
institution
Provider Business Practice Location Address Details
Address
1965 S Fremont Ave
City
State
Zip
65804-2201
Phone Number
417-820-9123
Fax Number
417-820-3935
person
Provider Business Mailing Address Details
Address
1965 S Fremont Ave
City
State
Zip
65804-2201
Phone Number
417-820-9123
Fax Number
417-820-3935
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
2004004160 (Missouri)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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