Mark R. Frederick, DO
NPI #1063407609 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1063407609
- Entity Type
- Individual
- Name
- Mark R. Frederick, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Anesthesiology
- Credential
- DO
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Oct 15, 2007
Practice Location
- Address
- 1445 CHRISTY DR
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-2853
- Phone
- (573) 636-3483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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