Larry D Tice, MD

NPI #1942213475 in Fruita, Colorado

Provider Information

NPI Number: 1942213475
Entity Type: Individual
Name: Larry D Tice, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Neurological Surgery
Credential: MD
Enumeration Date: Aug 14, 2006
Last Updated: Apr 23, 2014

Practice Location

Address: 551 KOKOPELLI BLVD
Address 2: SUITE I
City: Fruita
State: Colorado
ZIP Code: 81521-6305
Phone: (970) 858-2580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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