Individual
DR. DOUGLAS R. FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 HICKEY BLVD, DALY CITY, CA 94015-2770
(650) 742-2000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
A43821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A438210
—
CA
Enumeration date
05/23/2006
Last updated
08/02/2022
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