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NPI Code Detail

MEDICARE: DR. DUSTIN J FROEHLICH M.D.

MEDICARE: DR. DUSTIN J FROEHLICH M.D.
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
12084P0800XPsychiatry Physician57.028757OH
2390200000XStudent in an Organized Health Care Education/Training Program
32084P0800XPsychiatry PhysicianDR.0066495CO

General Provider Information

NPI Number : 1457708794
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUSTIN J FROEHLICH M.D.
Provider Business Mailing Address
First Line : 1870 W 122ND AVE STE 100
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-2075
Country : US
Telephone Number : 303-853-3500
Fax Number : 303-853-3702
Provider Business Practice Location Address
First Line : 1850 E EGBERT ST STE 200
Second Line :
City : BRIGHTON
State : CO
Zip : 80601-2484
Country : US
Telephone Number : 303-853-3500
Fax Number : 303-853-3702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2016
Last Update Date : 01/26/2022

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