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NPI Code Detail

MEDICARE: ROBERT FRASER MSW

MEDICARE: ROBERT FRASER MSW
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
11041C0700XClinical Social WorkerCSW.09824007CO

General Provider Information

NPI Number : 1356693998
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT FRASER MSW
Provider Business Mailing Address
First Line : 2509 RESEARCH BLVD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-8108
Country : US
Telephone Number : 970-224-1550
Fax Number :
Provider Business Practice Location Address
First Line : 2509 RESEARCH BLVD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-8108
Country : US
Telephone Number : 970-224-1550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2012
Last Update Date : 02/09/2024

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