MARK R. FREDERICK

JEFFERSON CITY, MO
NPI1063407609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MO  R8B46)
Enumeration Date2005-09-20
Last Update Date2007-10-15
Business Address
-- MARK R. FREDERICK DO
1445 CHRISTY DR
JEFFERSON CITY, MO 65101-2853
Phone number: 573-636-3483
Mailing Address
-- MARK R. FREDERICK DO
1445 CHRISTY DR
JEFFERSON CITY, MO 65101-2853
Phone number: 573-636-3483
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