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Individual

DR. PAUL JEFFREY FRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2006 FRANKLIN ST SE, SUITE 200, HUNTSVILLE, AL 35801-4551
(256) 539-0457
(256) 539-5827
Mailing address
2006 FRANKLIN ST SE, SUITE 200, HUNTSVILLE, AL 35801-4551
(256) 539-0457
(256) 539-5827

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15045
AL
2085R0202X
Diagnostic Radiology Physician
Primary
18086
AL
2085R0202X
Diagnostic Radiology Physician
30312
TN
2085R0202X
Diagnostic Radiology Physician
74007
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009911116
AL
05
009942878
AL
01
10910913
CAQH
05
126703
AL
05
135866
AL
05
212149
AL
05
240071
AL
05
247545
AL
05
247645
AL
05
247706
AL
05
247866
AL
05
248105
AL
05
248673
AL
01
4011004
BCBS
TN
01
51057219
BCBS
AL
01
51057270
BCBS
AL
01
51057271
BCBS
AL
01
51057272
BCBS
AL
01
511-23900
BCBS
AL
01
51100053
BCBS
AL
01
51590038
BCBS
AL
01
51595663
BCBS
AL
05
57219
AL
05
57270
AL
05
57271
AL
05
57272
AL
01
890-43468
BCBS
AL
01
890-51501
BCBS
AL
Enumeration date
11/22/2005
Last updated
03/09/2023
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