Phillip Edward Fry Jr., DO
Emergency Medicine in San Diego, CA. Individual provider (NPI-1).
NPI number1003270331
StatusActive
Last updated in NPPESAug 6, 2026
Details
- NPI
- 1003270331
- Entity type
- Individual (NPI-1)
- Name
- Phillip Edward Fry Jr.
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2016
- Certification date
- Aug 6, 2026
- Last updated
- Aug 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | DO.OP.70134164 | WA | Yes |
| 207P00000X | Emergency Medicine | 20A17583 | CA |
Other names
- Phillip Edward Fry (Other Name)
Practice location
34800 Bob Wilson DrSan Diego, CA 92134-1010
Phone 619-532-6400
Mailing address
3 Everglade CtRoswell, NM 88201-3485
Phone 575-420-3425
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