Individual
MS. ELIZABETH ALICE FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
46896 HIGHWAY 1, BIG SUR, CA 93920-9693
(831) 667-2580
(831) 667-0184
Mailing address
46896 HIGHWAY 1, BIG SUR, CA 93920-9693
(831) 667-2580
(831) 667-0184
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51352
CA
363AM0700X
Medical Physician Assistant
PA 1473
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70858F
—
CA
Enumeration date
07/01/2005
Last updated
11/10/2015
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