Basic Information
Provider Information
NPI: 1326154014
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FREY
FirstName: GRETCHEN
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8055 E TUFTS AVE
Address2: STE 230
City: DENVER
State: CO
PostalCode: 802372854
CountryCode: US
TelephoneNumber: 3035848900
FaxNumber: 7205249475
Practice Location
Address1: 4700 E ILIFF AVE
Address2:  
City: DENVER
State: CO
PostalCode: 802226025
CountryCode: US
TelephoneNumber: 3035848900
FaxNumber: 7205249475
Other Information
ProviderEnumerationDate: 08/22/2006
LastUpdateDate: 03/22/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X27822COY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home