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Individual

BART ALAN FRIZZELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 713-6565
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 713-6565

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
200101042
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1294X
BCBS
05
1528040581
VA
05
3810011060
WV
01
43239
PARTNERS
01
7067342
AETNA
05
891294X
NC
01
A9555
MEDCOST
Enumeration date
11/16/2005
Last updated
11/15/2010
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