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Individual

DR. LARRY MICHAEL FRALEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
111 FRANKLIN HEALTH COMMONS, FARMINGTON, ME 04938
(207) 779-2357
(207) 779-2240
Mailing address
111 FRANKLIN HEALTH COMMONS, FARMINGTON, ME 04938
(207) 779-2357
(207) 779-2240

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
017689
ME
207L00000X
Anesthesiology Physician
32682
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
32682
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64326820
KY
Enumeration date
09/20/2005
Last updated
03/05/2010
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