Individual
DANIEL JASON FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 KITCHIN PL # 220, ASHEVILLE, NC 28803
(828) 274-1415
(828) 273-9943
Mailing address
5 KITCHIN PL # 220, ASHEVILLE, NC 28803-2665
(828) 274-1415
(828) 273-9943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07915
NC
363A00000X
Physician Assistant
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—
Other
Enumeration date
09/10/2017
Last updated
11/01/2018
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