Larry D Tice is a Neurological Surgery in Fruita, Colorado. Larry D Tice practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Larry D Tice is 1942213475. The last update date is 2014-04-23.
Larry D Tice's current location address is 551 Kokopelli Blvd Unit I, Fruita, Colorado. You can contact this provider via phone number 9708582580 and fax number 9708583211. The mailing address for Larry D Tice is 551 Kokopelli Blvd Unit I, Fruita, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry D Tice |
|---|---|
| Address | 551 Kokopelli Blvd Unit I, Fruita, Colorado |
| Phone Number | 9708582580 |
| Fax Number | 9708583211 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942213475 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2014-04-23 |
Provider Mailing Address Detail
| Address | 551 Kokopelli Blvd Unit I |
|---|---|
| City | Fruita |
| State | Colorado (CO) |
| Post Code | 815216305 |
| Phone Number | 9708582580 |
| Fax Number | 9708583211 |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | 18565 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1185651 | CO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry D Tice by the Centers for Medicare & Medicaid Services (CMS)?
The Larry D Tice has been assigned the NPI (National Provider Identifier) 1942213475. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Larry D Tice is physically located?
The Larry D Tice is physically situated at the following address: 551 Kokopelli Blvd Unit I, Fruita, CO, 815216305.
What is Larry D Tice's area of expertise and its corresponding taxonomy classification?
The Larry D Tice's field of specialization is Neurological Surgery, and it falls under the taxonomy code 207T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Larry D Tice receive the assignment of its 1942213475 from the Centers for Medicare & Medicaid Services?
The Larry D Tice was issued its 1942213475 by the Centers for Medicare & Medicaid Services on 2006-08-14.
As of what date was the information pertaining to Larry D Tice, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry D Tice, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-23.