Individual
ADAMA MARIE FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 321-4121
Mailing address
2350 W. EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6203
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
49722
MN
2084N0400X
Neurology Physician
Primary
A111415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
926677000
—
MN
01
—
P00804273
MEDICARE RAILROAD
MN
Enumeration date
04/04/2007
Last updated
09/20/2012
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