CHRISTOPHER RAYMOND FREDERICKS

ALBUQUERQUE, NM
NPI1265094965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RG0100X Internal Medicine, Gastroenterology
(Licence: NM  56664)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: NM  56664)
Enumeration Date2019-07-02
Last Update Date2019-07-02
Business Address
CHRISTOPHER RAYMOND FREDERICKS
1100 LEAD AVE SE
ALBUQUERQUE, NM 87106-5215
Phone number: 505-224-7000
Mailing Address
CHRISTOPHER RAYMOND FREDERICKS
408 VASSAR DR SE
ALBUQUERQUE, NM 87106-2806
Phone number: 505-629-2079