Individual
DR. AMY M FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 MEDICAL CENTER PKWY STE 240A, BENTONVILLE, AR 72712-3204
(795) 533-3340
(479) 553-1964
Mailing address
1200 SE 28TH ST, 2, BENTONVILLE, AR 72712-3881
(479) 271-0005
(479) 273-1427
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01062670
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178153001
—
AR
Enumeration date
10/20/2006
Last updated
09/16/2020
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