| Doctor Name: | MR. FREDERICK H NORTHROP |
| NPI Number: | 1124163498 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 1188 |
| Business Practice Address: | 8523 E 11th St A1 Tulsa, OK - 741127963 |
| Business Phone Number: | 9188363355 |
| Business Fax Number: | 9188382434 |
| Mailing Address: | 8523 E 11th St, A1 TULSA |
| State: | OK |
| Postal Code: | 741127963 |
| Phone Number: | 9188363355 |
| Fax Number: | 9188382434 |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 1188 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |