NPI 1922099530 · live from the CMS NPI Registry
Michael Fry
Orthopaedic Surgery, Orthopaedic Surgery of the Spine in Carson City, NV. National Provider Identifier 1922099530, active.
NPI record
| NPI | 1922099530 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Surgery of the Spine 207XS0117X |
| Practice location | 973 Mica Drive, Suite 201, Carson City, NV 89705 |
| Practice phone | 775-783-6190 |
| Mailing address | 973 Mica Dr, Suite 201, Carson City, NV 89705 |
| Enumerated | November 2, 2005 |
| Last updated | July 22, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | G54589 (CA) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine primary | 207XS0117X | 6789 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.