Wallace, Amanda Fraser

Wallace, Amanda Fraser is an individual health care provider with primary practice located at 755 Heritage Rd , Golden CO 80401-3600. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Wallace, Amanda Fraser can be contacted via phone (303) 277-0700.

Contact Information

Primary practice address
755 Heritage Rd Golden CO 80401-3600
Phone: (303) 277-0700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DR0052096 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0052096 Colorado

Profile Details

NPI number 1174750707
LBN Legal business name Wallace, Amanda Fraser
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2009
Last updated Jan 7th, 2019 - about 5 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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