Individual
JEFFREY R FRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(970) 810-4819
(970) 378-4015
Mailing address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(970) 810-4819
(970) 378-4015
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123076
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59105038
—
CO
Enumeration date
11/03/2005
Last updated
08/06/2015
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