Individual
DR. STEPHEN JOE FRUSHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 1ST AVE E, STE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Mailing address
1200 1ST AVE E, STE C, SPENCER, IA 51301-4342
(712) 262-7511
(712) 262-3658
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
35038467
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0477208
—
IA
Enumeration date
08/25/2005
Last updated
08/02/2007
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