MR. Fredrick William Short, DO

NPI #1780637868 in Tonganoxie, Kansas

Provider Information

NPI Number: 1780637868
Entity Type: Individual
Name: MR. Fredrick William Short, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 18, 2006
Last Updated: Sep 24, 2013

Practice Location

Address: 21107 DONAHOO RD
City: Tonganoxie
State: Kansas
ZIP Code: 66086-4153
Phone: (913) 742-4084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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