Individual
ERIC W FREVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1488 18 RD, FRUITA, CO 81521-9263
(719) 480-9765
Mailing address
1488 18 RD, FRUITA, CO 81521-9263
(719) 480-9765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2371
CO
363A00000X
Physician Assistant
Primary
PA60921354
WA
Other
Enumeration date
12/08/2006
Last updated
08/10/2021
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