Provider Demographics
NPI:1679563092
Name:FRANDRUP, CHRISTOPHER JAMES BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES BRIAN
Last Name:FRANDRUP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 370382
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-0382
Mailing Address - Country:US
Mailing Address - Phone:702-307-7246
Mailing Address - Fax:720-502-5271
Practice Address - Street 1:1400 S POTOMAC ST STE 150
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4541
Practice Address - Country:US
Practice Address - Phone:720-307-7246
Practice Address - Fax:720-502-5271
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.006659208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72770121OtherMEDICAID