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1619986304
MICHAEL WOODWORTH FREDRICK
FLAGSTAFF, AZ
NPI
1619986304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: AZ 3679)
Enumeration Date
2006-08-05
Last Update Date
2020-09-09
Business Address
DR. MICHAEL WOODWORTH FREDRICK DO
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-779-3366
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Mailing Address
DR. MICHAEL WOODWORTH FREDRICK DO
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-213-6235
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