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Individual

CARL R FRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1020 TRUMP RD NW STE 4, CARROLLTON, OH 44615-8423
(330) 627-0884
(330) 627-0885
Mailing address
1020 TRUMP RD NW STE 4, CARROLLTON, OH 44615-8423
(330) 627-0884
(330) 627-0885

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.011206
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0121584
OH
Enumeration date
06/27/2012
Last updated
06/16/2018
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