| Mark S Fraley, D.o.,p.c. | |
|
2141 Academy Cir Colorado Springs CO 80909-1686 | |
| (719) 597-4200 | |
| (719) 597-4495 |
| Full Name | Mark S Fraley, D.o.,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2141 Academy Cir, Colorado Springs, Colorado |
| Authorized Official Name and Position | Mark S Fraley (OWNER) |
| Authorized Official Contact | 7195974200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Fraley, D.o.,p.c. 2141 Academy Cir Colorado Springs CO 80909-1686 Ph: (719) 597-4200 | Mark S Fraley, D.o.,p.c. 2141 Academy Cir Colorado Springs CO 80909-1686 Ph: (719) 597-4200 |
| NPI Number | 1225222748 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 10/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225222748 | NPI | - | NPPES |
| 1225222748 | Other | CO | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34357 (Colorado) | Primary |
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