Individual
MR. FREDERICK GERALD MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C.
Contact information
Practice address
GAMEDAY MENS HEALTH - SAN MARCOS, 1340 WONDER WORLD DR, SUITE 104, SAN MARCOS, TX 78666
(737) 331-0301
(737) 932-6224
Mailing address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005213
WA
Other
Enumeration date
08/31/2006
Last updated
08/29/2024
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