Individual
MR. ERIC J. FLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
548 SOUTH MARINE CORPS DRIVE, TAMUNING, GU 96931-6578
(671) 646-5824
(671) 647-3546
Mailing address
243 WINKLER TRL, COLOGNE, MN 55322-8013
(671) 646-6956
(671) 647-3546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GU
Other
Enumeration date
04/06/2006
Last updated
05/23/2017
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