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Individual

DR. TRACY D FROMBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS013618
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0055898
CO
207QS0010X
Sports Medicine (Family Medicine) Physician
259757
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026978
KAISER COMMERCIAL NUMBER
CO
01
131562ZF11
MEDICARE
PA
01
2053405
HIGHMARK BS
PA
01
50097059
CBC
PA
01
9783144
AETNA
PA
01
P00962919
RR MEDICARE
PA
Enumeration date
03/23/2007
Last updated
05/04/2021
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