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Fredrick Packard, EDD

NPI 1669439626 · on the registry since 2006 · sole proprietor

Practice

Address
160 W Fish Ln
Snowflake, AZ 85937
Phone
(928) 225-9111
Fax
(928) 366-5988

Additional practice sites

  • 160 W Fish Ln, Snowflake, AZ
  • 160 W Fish Ln, Snowflake, AZ

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-04-09

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 Arizona