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Individual

MIRANDA P FRITH

Active
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Individual

MIRANDA P FRITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.346
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051048148
BCBS OF AL
AL
01
051048149
BCBS OF AL
AL
01
051048150
BCBS OF AL
AL
05
107776
AL
01
510-00264
BCBS OF AL
AL
01
51048148
BCBS OF AL
AL
01
51048149
BCBS OF AL
AL
01
51048150
BCBS OF AL
AL
01
510I970130
MEDICARE
AL
Enumeration date
08/20/2006
Last updated
09/07/2018
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