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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT RAY FREDERICK, PA

Active

ROBERT RAY FREDERICK, PA is a Medical Physician Assistant healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1619204690 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · OKLAHOMA CITY, OK

Registration Details

NPI Number
1619204690
Provider Type
Individual
Gender
Male
NPI Issued
Nov 11, 2009 (16.748294917753 yrs)
Last Updated
Nov 11, 2009
License
PA457 (OK)

Practice Information

Address
3366 NW EXPRESSWAY STE 730
OKLAHOMA CITY, OK, 731124454
Browse OK providers · Browse ZIP 73112
Phone
4059454905
Fax
4059454906
Primary Specialty
Medical Physician Assistant
363AM0700X

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GRETA J. WATSON P.A. 1538156336
KATHERINE J PAYNE PA-C 1710976071
KELLY J WALWORTH PAC 1376526756
MCKINLEY BOATNER PA 1508840695
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.