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Individual

JOHN ALLAN FRITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1551 PROFESSIONAL LN, SUITE 135, LONGMONT, CO 80501-6972
(303) 776-7582
(303) 776-7583
Mailing address
1551 PROFESSIONAL LN, SUITE 135, LONGMONT, CO 80501-6972
(303) 776-7582
(303) 776-7583

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20750
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01207505
CO
01
FR03952
BLUE CROSS
CO
Enumeration date
08/02/2005
Last updated
11/06/2012
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