Individual
FRANK B WYDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13001 E 17TH PL, AURORA, CO 80045
(303) 724-2974
(303) 724-1593
Mailing address
100 E 14TH ST, APT 1809, CHICAGO, IL 60605-2889
(708) 351-3634
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A152934
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2013
Last updated
07/09/2018
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