Individual
HEATHER ELAINE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 E GORE BLVD STE A, LAWTON, OK 73501-6129
(405) 593-3944
Mailing address
4101 PERIMETER CENTER DR STE 250, OKLAHOMA CITY, OK 73112-2309
(405) 226-0843
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
105923
OK
Other
Enumeration date
04/30/2020
Last updated
10/14/2021
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