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NPI Code Detail

MEDICARE: ROBERT WE FRY MD INC.

MEDICARE: ROBERT WE FRY MD INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1255814281
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT WE FRY MD INC.
Provider Business Mailing Address
First Line : 1111 LAS TABLAS RD STE R
Second Line :
City : TEMPLETON
State : CA
Zip : 93465-9732
Country : US
Telephone Number : 805-434-4848
Fax Number : 805-434-0662
Provider Business Practice Location Address
First Line : 1111 LAS TABLAS RD STE R
Second Line :
City : TEMPLETON
State : CA
Zip : 93465-9732
Country : US
Telephone Number : 805-434-4848
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : BETH GABRIELLE HUTCHINSON
Credential :
Telephone Number : 805-434-4848
Provider Enumeration Date : 09/14/2018
Last Update Date : 03/07/2023

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Directions to “ROBERT WE FRY MD INC. ” Practice Location

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