Individual
MR. CLAUDE RANDALL FRIDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4419 TRAM RD, PANAMA CITY, FL 32404-2559
(850) 747-5825
Mailing address
644 FLORIDA AVE, UNIT E, PANAMA CITY, FL 32401-6354
(850) 896-0569
(850) 522-9155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 3018
FL
Other
Enumeration date
07/19/2008
Last updated
07/19/2008
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