Individual
SARA K. FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 N 2ND ST, SUITE 100, ONEILL, NE 68763
(402) 336-2900
Mailing address
PO BOX 270, ONEILL, NE 68763-0270
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1852
NE
Other
Enumeration date
09/29/2014
Last updated
07/20/2018
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