Individual
NEIL NATHAN FRYDRYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4018 OLEATHA AVE, SAINT LOUIS, MO 63116-3606
(210) 323-8500
Mailing address
4018 OLEATHA AVE, SAINT LOUIS, MO 63116-3606
(210) 323-8500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
390200000X
MO
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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