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Contact Information

MYRON FRIBUSH, MD
209 MOLLER AVE
MOUNTAINSIDE FAMILY HEALTHCARE
SITKA, AK99835-7142
 Phone: 907-747-1722
 Fax: 907-747-1755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MYRON FRIBUSH · (Male)

NPI Number 1184702102
Status Active
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 08/15/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # 5255
  • AK Medicaid MD4646
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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