Individual
CRYSTAL HOPE FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13301 N MERIDIAN AVE STE 201, OKLAHOMA CITY, OK 73120-8381
(405) 803-8020
(405) 437-2332
Mailing address
PO BOX 54333, OKLAHOMA CITY, OK 73154-1333
(405) 803-8020
(405) 437-2332
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1324
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200294940A
—
OK
Enumeration date
01/09/2007
Last updated
12/29/2025
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