Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 20027 | IA |
N | 2080A0000X | Adolescent Medicine | 20027 | IA |
N | 2080P0006X | Developmental - Behavioral Pediatrician | 20027 | IA |
NPI | 1225168511 |
---|---|
Provider Name | Dr. Frederick C. Aldrich |
First Address | Des Moines, IA 50312-4015 |
Second Address | Des Moines, IA 50312-4015 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 27/12/2011 |