Individual provider · Type 1 NPI
Barry L. Frederick, PA-C, MPAS, RN, BSN
Medical Physician Assistant · Slidell, LA
NPI number
1285601740
Active
Practice location
1150 Robert Blvd Ste 240
Slidell, LA 70458-2005
Fax (985) 646-3691
Mailing address
1001 Gause Blvd # 75
Slidell, LA 70458-2939
Other practice locations
- 1001 Gause Blvd, Slidell, LA 70458-2939 · (985) 649-8542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | A10586 (LA) |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1285601740
Barry L. Frederick, PA-C, MPAS, RN, BSN's National Provider Identifier is 1285601740, issued on Mar 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Slidell, LA. The record was last updated on Apr 22, 2020.