person
Gail June Fredericks, MD
General Practice Physician in Placerville, California
NPI 1659468999

Gail June Fredericks is a General Practice Physician based in Placerville, CA. Gail June Fredericks practices in Placerville, CA and has the professional credentials of MD. The NPI Number for Gail June Fredericks is 1659468999 and holds a License No. A61646 (California).

The current practice location address for Gail June Fredericks is 121 Diana St, Placerville, CA and can be reached out via phone at 530-559-2880 and via fax at 530-622-2979.

Location: 121 Diana St, Placerville, CA, 95667-3313
person
Provider Profile Details
NPI Number
1659468999
Provider Name
Gail June Fredericks
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
121 Diana St, Placerville, CA, 95667-3313
Phone Number
530-559-2880
Fax Number
530-622-2979
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00A616460 05 CA
05D0932276 01 CA CLIA ID NO
institution
Provider Business Practice Location Address Details
Address
121 Diana St
City
State
Zip
95667-3313
Phone Number
530-559-2880
Fax Number
530-622-2979
person
Provider Business Mailing Address Details
Address
121 Diana St
City
State
Zip
95667-3313
Phone Number
530-559-2880
Fax Number
530-622-2979
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A61646 (California)
Definition
Definition to come...
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