-- FREDERIC W NORTHERN PA-C ⚕️ New Mexico 1548682842

NPI	1548682842
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	363AM0700X Physician Assistant, Medical (Licence: NM PA2013-0085)
Enumeration Date	2014-01-06
Last Update Date	2014-01-06

-- FREDERIC W NORTHERN PA-C

707 PASEO DE PERALTA

SANTA FE, NM 87501-1922

Phone number: 505-989-8707

-- FREDERIC W NORTHERN PA-C

401 E SENECA AVE

MCALESTER, OK 74501-6427

Phone number: 918-916-6894