Individual
MARILYN FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3801 S NATIONAL AVE STE 1122, SPRINGFIELD, MO 65807-6090
(417) 269-7728
(417) 269-7729
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2023041776
MO
Other
Enumeration date
10/17/2023
Last updated
02/29/2024
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