Individual provider · Type 1 NPI

Jeffrey Alan Frederick, PA-C

Medical Physician Assistant · Norman, OK

NPI number 1093743957 Active

Practice location

3650 W Rock Creek Rd, 110A
Norman, OK 73072-2202

Call (405) 364-2666 Map

Fax (405) 364-9627

Mailing address

4200 W Memorial Rd, 606
Oklahoma City, OK 73120-9350

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 936 (OK)

Medical Physician Assistant: Definition to come...

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About NPI 1093743957

Jeffrey Alan Frederick, PA-C's National Provider Identifier is 1093743957, issued on Jun 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Norman, OK. The record was last updated on Jul 15, 2013.