MR. CLAUDE RANDALL FRIDLEY NPI 1720243702

NPI Information

NPI: 1720243702
Provider Name: MR. CLAUDE RANDALL FRIDLEY
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
4419 TRAM RD
PANAMA CITY, FL
ZIP 32404
Phone: (850) 747-5825
Get Directions

MR. Claude Randall Fridley is a medical physician assistant in Panama City, FL. MR. Claude Randall Fridley NPI is 1720243702. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4419 TRAM RD
PANAMA CITY, FL
ZIP 32404-559
Phone: (850) 747-5825

The enumeration date for this NPI number is 7/19/2008 and was last updated on 7/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA 3018	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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