Individual
DR. STEPHEN FULLER FRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 MEDICAL PARK DR, SUITE 300, BRIDGEPORT, WV 26330-9012
(304) 624-7200
(304) 423-5302
Mailing address
PO BOX 763, MORGANTOWN, WV 26507-0763
(800) 541-4009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV2006
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2652133
—
OH
05
—
3810002530
—
WV
Enumeration date
01/02/2007
Last updated
04/05/2022
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