Individual
PAUL FRY
Active
Individual
PAUL FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6420
NV
207X00000X
Orthopaedic Surgery Physician
G54590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002003052
—
NV
01
—
00G545900
MEDI-CAL
CA
01
—
200034256
MEDICARE RAILROAD
CA
01
—
CC6619
BCBS
NV
01
—
P00343660
MEDICARE RAILROAD
NV
Enumeration date
11/03/2005
Last updated
07/20/2021
Update your record
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