Individual
MR. FREDERICK K SAFFOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
(304) 256-5419
Mailing address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
(304) 256-5419
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
839
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00147302
RR MCARE
WV
Enumeration date
11/02/2005
Last updated
07/11/2007
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