Individual
TANNER PAULSON FRITSCHKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 STATE AVE, ALAMOSA, CO 81101-2670
(719) 588-7113
Mailing address
407 STATE AVE, ALAMOSA, CO 81101-2670
(195) 887-1137
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1886
CO
Other
Enumeration date
12/05/2012
Last updated
04/15/2020
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