Individual
DR. KENT B. FRYBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
573 32 RD, CLIFTON, CO 81520-7624
(970) 434-8570
(970) 434-9655
Mailing address
573 32 RD, CLIFTON, CO 81520-7624
(970) 434-8570
(970) 434-9655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24162
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01241629
—
CO
Enumeration date
02/09/2007
Last updated
06/21/2010
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