Search › Idaho › 183500000X
Zackary Frederiksen
NPI 1336865534 · on the registry since 2022
Practice
- Address
- 1678 S Woodsage Ave
Meridian, ID 83642 - Phone
- (208) 550-2380
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 1835P0018X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho