Individual
MR. PAUL DAVID FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1225 N H ST, LOMPOC, CA 93436
(805) 737-8700
Mailing address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-8700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15416
CA
Other
Enumeration date
04/14/2006
Last updated
05/13/2019
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