Individual
MICHAEL ALLEN FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2333 BUCHANAN ST FL 2, SAN FRANCISCO, CA 94115-1925
(415) 600-6455
(415) 600-2870
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G86080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G860800
—
CA
Enumeration date
06/12/2006
Last updated
03/21/2024
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