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NPI Code Detail

MEDICARE: DR. ROBERT L FRAZHO MD

MEDICARE:  DR. ROBERT L FRAZHO  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12081P0004XSpinal Cord Injury Medicine Physician43245CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00227484OTHERCORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235122482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT L FRAZHO MD
Provider Business Mailing Address
First Line : 627 25 1/2 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-6401
Country : US
Telephone Number : 970-242-3535
Fax Number : 970-623-8599
Provider Business Practice Location Address
First Line : 627 25 1/2 RD
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-6401
Country : US
Telephone Number : 970-242-3535
Fax Number : 970-623-8599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 05/31/2012

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Directions to “ DR. ROBERT L FRAZHO MD” Practice Location

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