Individual
MATTHEW ALLEN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1924 ALCOA HIGHWAY, UT MEDICAL CENTER, KNOXVILLE, TN 37920
(865) 305-9000
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2145
TN
207P00000X
Emergency Medicine Physician
Primary
A-2435-20
NM
207P00000X
Emergency Medicine Physician
OP60257361
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/21/2007
Last updated
02/19/2025
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