# S. CASEY FRYER DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902957681
- **Authorized official:** S. CASEY FRYER DO (PRESIDENT)
- **Authorized official phone:** (304) 842-8060

## Contact information

- **Practice address:** 1511 JOHNSON AVE, BRIDGEPORT, WV 26330
- **Practice address phone:** (304) 842-8060
- **Practice address fax:** (304) 842-9064
- **Mailing address:** PO BOX 6813, WHEELING, WV 26003-0920
- **Mailing address phone:** (304) 233-2455
- **Mailing address fax:** (304) 233-6073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020
