| NPI | 1548650013 | 
|---|---|
| Professional Name | JAMES P. FREDERICK | 
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO PA.0005336) | 
| Additional Taxonomies | 363A00000X Physician Assistant | 
| Enumeration Date | 2015-02-04 | 
| Last Update Date | 2018-12-11 |