Individual
FREDERICK MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
550 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8160
(707) 465-6925
(707) 465-6070
Mailing address
670 9TH STREET, SUITE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E3271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E32710
MEDI CAL
CA
Enumeration date
07/07/2005
Last updated
11/25/2014
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