Individual
JONATHAN TYLER FROSHAUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(303) 551-2885
Mailing address
2440 N 11TH ST, GRAND JUNCTION, CO 81501-8102
(970) 243-0900
(970) 243-0900
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0006926
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/27/2020
Last updated
08/27/2021
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