BRETT WILLIAM FREDERICKSEN OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1194392845- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 291 N MILWAUKEE ST STE A-3, BOISE, ID, 837049132
- Phone
- (833) 776-2020
- Fax
- (208) 297-5718
Specialties & Taxonomies
Optometrist
Primary License: ID #ODP-100533