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Individual

WILLIAM FREDERICK MOREFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
600 N WOLFE ST, BLALOCK 545, BALTIMORE, MD 21287-0005
(410) 614-2227
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
(410) 735-4910

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C03858
MD
363A00000X
Physician Assistant
MA052876
PA
363AS0400X
Surgical Physician Assistant
C5-0000557
DE

Other

Enumeration date
10/04/2006
Last updated
07/27/2011
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