Individual
MR. RUSSELL L FRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5187 US ROUTE 60 E, STE 6, HUNTINGTON, WV 25705-2076
(304) 691-8800
(304) 302-0221
Mailing address
5187 US ROUTE 60 E, STE 6, HUNTINGTON, WV 25705-2076
(304) 691-8800
(304) 302-0221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
200501699
NC
207W00000X
Ophthalmology Physician
Primary
21418
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902537
—
NC
Enumeration date
04/12/2006
Last updated
12/02/2021
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