Individual provider · Type 1 NPI

Claude Randall Fridley

Medical Physician Assistant · Panama City, FL

NPI number 1720243702 Active

Practice location

4419 Tram Rd
Panama City, FL 32404-2559

Mailing address

644 Florida Ave, Unit E
Panama City, FL 32401-6354

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 3018 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1720243702

Claude Randall Fridley's National Provider Identifier is 1720243702, issued on Jul 19, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Panama City, FL. The record was last updated on Jul 19, 2008.