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Individual

GARRY G FRIZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
6425 N FLORA AVE, FRESNO, CA 93710-4103
(559) 448-9034
(559) 439-0223
Mailing address
6425 N FLORA AVE, FRESNO, CA 93710-4103
(559) 448-9034
(559) 439-0223

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1147
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA0011470
BLUE SHIELD OF CA
CA
05
RN2575960
CA
Enumeration date
06/20/2006
Last updated
12/29/2007
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