Crystal Hope Fredrickson in Edmond - Medical

Crystal Hope Fredrickson - NPI 1649329996

Crystal Hope Fredrickson is a Medical in Edmond, Oklahoma. Crystal Hope Fredrickson practices all healthcare services and medical treatments related to Medical. The NPI Number for Crystal Hope Fredrickson is 1649329996. The last update date is 2013-07-22.

Crystal Hope Fredrickson's current location address is 3863 S Boulevard, Edmond, Oklahoma. You can contact this provider via phone number 4052165444 and fax number 4052165445. The mailing address for Crystal Hope Fredrickson is 3863 S Boulevard, Edmond, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Crystal Hope Fredrickson
Address 3863 S Boulevard, Edmond, Oklahoma
Phone Number 4052165444
Fax Number 4052165445
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1649329996
Provider Enumeration Date 2007-01-09
Last Updated Date 2013-07-22

Provider Mailing Address Detail

Address 3863 S Boulevard
City Edmond
State Oklahoma (OK)
Post Code 730135540
Phone Number 4052165444
Fax Number 4052165445

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1324
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Crystal Hope Fredrickson

What is the unique identifier code issued to Crystal Hope Fredrickson by the Centers for Medicare & Medicaid Services (CMS)?

The Crystal Hope Fredrickson has been assigned the NPI (National Provider Identifier) 1649329996. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Crystal Hope Fredrickson's facilities are situated?

The facilities of Crystal Hope Fredrickson are physically located at the following address: 3863 S Boulevard, Edmond, OK, 730135540.

What is the Crystal Hope Fredrickson's specialty and taxonomy code?

The Crystal Hope Fredrickson's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Crystal Hope Fredrickson receive its 1649329996 assignment from the Centers for Medicare & Medicaid Services?

The Crystal Hope Fredrickson was assigned its 1649329996 by the Centers for Medicare & Medicaid Services on 2007-01-09.

As of what date were the details pertaining to Crystal Hope Fredrickson last refreshed?

The information related to the Crystal Hope Fredrickson, including its address, specialty, and other relevant details, was last updated on 2013-07-22.

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