JONATHAN FREDERICK

SHEFFIELD, AL
NPI1346397239
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: AL  AL28212)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: AL  AL5271)
Enumeration Date2007-01-04
Last Update Date2011-11-15
Business Address
JONATHAN FREDERICK MD
398 ASHE BLVD
SHEFFIELD, AL 35660-1729
Phone number: 256-383-1499
Mailing Address
JONATHAN FREDERICK MD
398 ASHE BLVD
SHEFFIELD, AL 35660-1729
Phone number: 256-383-1499