Individual
PAUL FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 VIRGINIA RANCH ROAD, SUITE 101B, GARDNERVILLE, NV 89410-5731
(775) 782-2442
(775) 782-7205
Mailing address
973 MICA DR, SUITE 201, CARSON CITY, NV 89705-7255
(775) 783-6190
(775) 783-6191
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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us