# JUSTIN TYLER FRISENDA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1063879773
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | DR.00058822 | CO | Yes |
| 2086S0127X | Trauma Surgery Physician | OS025977 | PA | Yes |

## Other

- **Enumeration date:** 01/26/2016
- **Last updated:** 09/16/2026