Gary A. Frederick, M.D. Valid NPI
Individual provider · Family Medicine Physician · Shattuck, OK
- NPI
- 1194723213
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 15799 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-07-12
- Last updated
- 2009-10-21
Practice location
905 S Main St
Shattuck, OK 73858-9205
(580) 938-2551