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Individual

TAYLOR FRICKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
LEE ST FL 2, CHARLOTTESVILLE, VA 22908-0001
(434) 243-6828
(434) 924-8068
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110003157
VA

Other

Enumeration date
10/05/2009
Last updated
10/05/2009
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