Individual
JOEL DANIEL FRYFOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1700 CENTER ST, MOBILE, AL 36604-3301
(251) 415-1000
Mailing address
278 ERNEST PIPKINS RD, LUCEDALE, MS 39452-8614
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3-000001
AL
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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