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Individual

MR. RONALD ARTHUR FRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
1 JEFFERSON BARRACKS DRIVE, SAINT LOUIS, MO 63125-4199
(314) 894-6645
Mailing address
1 JEFFERSON BARRACKS DRIVE, SAINT LOUIS, MO 63125-4199

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
224P00000X
Prosthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265632103
VA
MO
Enumeration date
07/19/2007
Last updated
11/02/2010
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