Individual provider · Type 1 NPI

Taylor Fricke, PA

Surgical Physician Assistant · Charlottesville, VA

NPI number 1992030233 Active

Practice location

Lee St Fl 2
Charlottesville, VA 22908-0001

Fax (434) 924-8068

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0110003157 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1992030233

Taylor Fricke, PA's National Provider Identifier is 1992030233, issued on Oct 5, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charlottesville, VA. The record was last updated on Oct 5, 2009.