Individual
DR. WILLIAM R FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 N NEVADA AVE STE 5010, COLORADO SPRINGS, CO 80907-6865
(719) 776-6700
(719) 776-6780
Mailing address
2222 N NEVADA AVE STE 5010, COLORADO SPRINGS, CO 80907-6865
(719) 776-6700
(719) 776-6780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101244709
VA
208600000X
Surgery Physician
35294
SC
2086S0102X
Surgical Critical Care Physician
0101244709
VA
2086S0102X
Surgical Critical Care Physician
35294
SC
2086S0129X
Vascular Surgery Physician
0101244709
VA
2086S0129X
Vascular Surgery Physician
35294
SC
2086S0129X
Vascular Surgery Physician
Primary
DR.0033611
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336114
—
CO
05
—
1568437408
—
VA
05
—
352942
—
SC
Enumeration date
02/22/2006
Last updated
03/06/2023
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