Individual
MR. DENNIS S FRERICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1415 N HOUK RD, SUITE D, SPOKANE VALLEY, WA 99216-1043
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10005216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222491
L&I
WA
05
—
8485955
—
WA
Enumeration date
03/14/2006
Last updated
05/25/2011
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