person
Frederic W Northern, PA-C
Medical Physician Assistant in Santa Fe, New Mexico
NPI 1548682842

Frederic W Northern is a Medical Physician Assistant based in Mcalester, NM and is specialized in Medical. Frederic W Northern practices in Santa Fe, NM and has the professional credentials of PA-C. The NPI Number for Frederic W Northern is 1548682842 and holds a License No. PA2013-0085 (New Mexico).

The current practice location address for Frederic W Northern is 707 Paseo De Peralta, Santa Fe, NM and can be reached out via phone at 505-989-8707.

Location: 707 Paseo De Peralta, Santa Fe, NM, 74501-6427
person
Provider Profile Details
NPI Number
1548682842
Provider Name
Frederic W Northern
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
707 Paseo De Peralta, Santa Fe, NM, 74501-6427
Phone Number
505-989-8707
Fax Number
Provider Enumeration Date
01/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
707 Paseo De Peralta
City
State
Zip
87501-1922
Phone Number
505-989-8707
Fax Number
person
Provider Business Mailing Address Details
Address
707 Paseo De Peralta
City
State
Zip
87501-1922
Phone Number
505-989-8707
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA2013-0085 (New Mexico)
Definition
Definition to come...
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