DR. Benjamin Keith Frederick, M.D.

NPI #1982953378 in Columbia, Missouri

Provider Information

NPI Number
1982953378
Entity Type
Individual
Name
DR. Benjamin Keith Frederick, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Radiology - Diagnostic Radiology
Credential
M.D.
Enumeration Date
Aug 31, 2012
Last Updated
Aug 31, 2012

Practice Location

Address
1 HOSPITAL DR
Address 2
DC069.10
ZIP Code
65212-1000
Phone
(573) 882-7901

Specialties & Taxonomy Codes

Specialty
Radiology - Diagnostic RadiologyDiagnostic Radiology

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