IndividualActive
Christopher Fredericks
NPI 1265094965 · Gastroenterology Physician · Albuquerque, NM
Provider details
- NPI number
- 1265094965
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 56664 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1100 Lead Ave Se
Albuquerque, NM 87106-5215
Phone: (505) 224-7000
Approximate (ZIP-level) locationGet directions
Mailing address
408 Vassar Dr Se
Albuquerque, NM 87106-2806
Registry dates
- Enumerated
- 2019-07-02
- Last updated
- 2019-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.