Individual
DR. MYRON FRIBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 MOLLER AVE, MOUNTAINSIDE FAMILY HEALTHCARE, SITKA, AK 99835-7142
(907) 747-1722
(907) 747-1755
Mailing address
209 MOLLER AVE, MOUNTAINSIDE FAMILY HEALTHCARE, SITKA, AK 99835-7142
(907) 747-1722
(907) 747-1755
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
5255
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4646
—
AK
Enumeration date
11/01/2006
Last updated
08/15/2011
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