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1295803047
TIM E. FREDERICK
SPRINGFIELD, MO
NPI
1295803047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MO 2004004160)
Enumeration Date
2006-12-01
Last Update Date
2011-02-11
Business Address
Dr. TIM E. FREDERICK MD
1965 S FREMONT AVE SUITE 230
SPRINGFIELD, MO 65804-2201
Phone number: 417-820-9123
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Mailing Address
Dr. TIM E. FREDERICK MD
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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