Provider Demographics
NPI:1326154014
Name:FREY, GRETCHEN A (MD)
Entity Type:Individual
Prefix:
First Name:GRETCHEN
Middle Name:A
Last Name:FREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8055 E TUFTS AVE
Mailing Address - Street 2:STE 230
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2854
Mailing Address - Country:US
Mailing Address - Phone:303-584-8900
Mailing Address - Fax:720-524-9475
Practice Address - Street 1:4700 E ILIFF AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6025
Practice Address - Country:US
Practice Address - Phone:303-584-8900
Practice Address - Fax:720-524-9475
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO27822207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD21466Medicare UPIN