Individual
JARRED MARSHAL FREESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(702) 453-3799
(702) 453-5741
Mailing address
PO BOX 343, MONTROSE, CO 81402-0343
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR0050766
CO
208M00000X
Hospitalist Physician
50766
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50766
CO LICENSE
CO
Enumeration date
03/28/2009
Last updated
04/21/2016
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