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Individual

BRIAN J FRYKMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
1450 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8812
(406) 587-0122
(406) 587-5548
Mailing address
1450 ELLIS ST, SUITE 201, BOZEMAN, MT 59715-8812
(406) 587-0122
(406) 587-5548

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
332
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4300738
MT
Enumeration date
10/28/2005
Last updated
07/08/2007
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