Fraley, Martha Cecile

Fraley, Martha Cecile is an individual health care provider with primary practice located at 810 East 3Rd St, Suite #301 Pediatric Partners Of The Southwest, Durango CO 81301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fraley, Martha Cecile can be contacted via phone (970) 375-0100.

Contact Information

Primary practice address
810 East 3Rd St, Suite #301 Pediatric Partners Of The Southwest Durango CO 81301
Phone: (970) 375-0100
Fax: (970) 375-9210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 33073 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 208000000X Colorado

Profile Details

NPI number 1780701649
LBN Legal business name Fraley, Martha Cecile
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2007
Last updated May 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780701649 NPPES
Colorado MEDICAID 01337039

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