Individual
MR. LARRY DEAN FRUGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
4127 BRUSH CREEK RD, COLORADO SPRINGS, CO 80916-5523
(719) 638-7996
(719) 638-7996
Mailing address
4127 BRUSH CREEK RD, COLORADO SPRINGS, CO 80916-5523
(719) 638-7996
(719) 638-7996
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
66847
CO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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