Individual
DR. HERBERT IRA FRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4591 TULE LAKE DR, LITTLETON, CO 80123-2747
(720) 323-5855
Mailing address
4591 TULE LAKE DR, LITTLETON, CO 80123-2747
(720) 323-5855
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23936
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239367
—
CO
Enumeration date
08/16/2006
Last updated
11/22/2011
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