Individual
DANIEL JOEL FRYSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(678) 778-4063
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(678) 778-4063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/27/2011
Last updated
01/02/2012
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