# FRASER PROFESSIONAL MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Flying Horse Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184045726
- **Authorized official:** DR. AARON S. FRASER D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (719) 433-5255

## Contact information

- **Practice address:** 1615 SILVERSMITH RD, COLORADO SPRINGS, CO 80921-7225
- **Practice address phone:** (719) 433-5255
- **Practice address fax:** (719) 488-6753
- **Mailing address:** 1615 SILVERSMITH RD, COLORADO SPRINGS, CO 80921-7225
- **Mailing address phone:** (719) 633-5255
- **Mailing address fax:** (719) 488-6753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 50395 | CO | Yes |

## Other

- **Enumeration date:** 12/28/2013
- **Last updated:** 01/04/2021