Individual
DR. NANCY JOYCE FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02487
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09320013
BLUE CROSS BLUE SHIELD
MO
01
—
11269
COVENTRY
MO
Enumeration date
09/01/2006
Last updated
09/07/2010
Update your record
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