Organization
FRASER PROFESSIONAL MEDICAL GROUP LLC
Active
Other names
Flying Horse Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON SOOTS FRASER D.O.L (MEDICAL DIRECTOR)
(719) 633-5255
Entity
Organization
Contact information
Practice address
77 3RD ST, MONUMENT, CO 80132-8179
(719) 633-5255
(719) 488-6753
Mailing address
77 3RD ST, MONUMENT, CO 80132-8179
(719) 633-5255
(719) 488-6753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
01/04/2021
Last updated
02/05/2024
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