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Individual

DR. RONALD FRIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
HWY 56 & 270 JUNCTION, WEWOKA, OK 74884-1475
(405) 257-7318
(405) 257-2696
Mailing address
PO BOX 1475, WEWOKA, OK 74884-1475
(405) 257-7318
(405) 257-2696

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33626
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1201685
OK
Enumeration date
07/19/2005
Last updated
10/27/2011
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