Healthcare Provider Details

I. General information

NPI: 1902291693
Provider Name (Legal Business Name): RICHARD EMMETT FRYE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2015
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 N HIGH ST STE 255
DENVER CO
80205-5663
US

IV. Provider business mailing address

2055 N HIGH ST STE 255
DENVER CO
80205-5663
US

V. Phone/Fax

Practice location:
  • Phone: 303-860-9933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberCDRH.0068014
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberCDRH.0068014
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: