Individual
KENNETH R FRISBIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1801 16TH ST, SUITE 100B, GREELEY, CO 80631-5154
(970) 352-4121
(970) 378-4040
Mailing address
1441 N 12TH ST, PHOENIX, AZ 85006-2837
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1045
CO
Other
Enumeration date
04/28/2006
Last updated
07/08/2007
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