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NPI Code Detail

MEDICARE: GREGORY J. FRYE MD

MEDICARE: GREGORY J. FRYE MD
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
1207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianG69133CA
2207P00000XEmergency Medicine PhysicianG69133CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1930116579OTHERCAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487602348
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY J. FRYE MD
Provider Business Mailing Address
First Line : PO BOX 87
Second Line :
City : TEMPLETON
State : CA
Zip : 93465-0087
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1100 LAS TABLAS RD
Second Line :
City : TEMPLETON
State : CA
Zip : 93465-9704
Country : US
Telephone Number : 805-546-7650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 05/24/2010

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