JEFFREY ALAN FREDERICK

NORMAN, OK
NPI1093743957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OK  PA 936)
Enumeration Date2006-06-29
Last Update Date2013-07-15
Business Address
-- JEFFREY ALAN FREDERICK PA-C
3650 W ROCK CREEK RD 110A
NORMAN, OK 73072-2202
Phone number: 405-364-2666
Mailing Address
-- JEFFREY ALAN FREDERICK PA-C
4200 W MEMORIAL RD 606
OKLAHOMA CITY, OK 73120-9350
Phone number: 405-755-1930
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