Organization
ANDREW F FROST MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELENIE NACHIMSON (CREDENTIALING SPECIALIST)
(405) 775-9350
Entity
Organization
Contact information
Practice address
3048 SW 89TH ST, SUITE A, OKLAHOMA CITY, OK 73159-6385
(405) 775-9350
(405) 775-9360
Mailing address
PO BOX 271958, OKLAHOMA CITY, OK 73137-1958
(405) 775-9350
(405) 775-9360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14847
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175044900
DOL
—
01
—
4462062
AETNA
OK
Enumeration date
09/13/2005
Last updated
10/13/2011
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