Individual
DR. ERIC FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6241
(479) 452-0275
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 314-6241
(479) 452-0275
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R6192
TX
207P00000X
Emergency Medicine Physician
Primary
T2020-365
AR
Other
Enumeration date
04/13/2015
Last updated
08/27/2020
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