Individual
DANIEL JACK FRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7375 W 52ND AVE STE 210, ARVADA, CO 80002-3748
(303) 223-4448
(720) 321-1621
Mailing address
2301 ERWIN ROAD BOX 3808, DURHAM, NC 27710-0001
(919) 684-2711
(919) 613-5716
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
239192
NC
2085R0202X
Diagnostic Radiology Physician
Primary
2022-01897
NC
Other
Enumeration date
04/30/2018
Last updated
09/26/2024
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