Provider Demographics
NPI:1629114335
Name:FRASER, AARON SOOTS (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:SOOTS
Last Name:FRASER
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:1615 SILVERSMITH RD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-7225
Mailing Address - Country:US
Mailing Address - Phone:719-633-5255
Mailing Address - Fax:719-488-6753
Practice Address - Street 1:1615 SILVERSMITH RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80921-7225
Practice Address - Country:US
Practice Address - Phone:719-633-5255
Practice Address - Fax:719-488-6753
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2021-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO0050395207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO348752Medicare UPIN