Provider Demographics
NPI:1356525406
Name:FRANK, DOUGLAS CHARLES
Entity type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:CHARLES
Last Name:FRANK
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:DOUGLAS
Other - Middle Name:CHARLES
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:2919 VALMONT RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1350
Mailing Address - Country:US
Mailing Address - Phone:303-449-3114
Mailing Address - Fax:
Practice Address - Street 1:2919 VALMONT RD
Practice Address - Street 2:SUITE 109
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1350
Practice Address - Country:US
Practice Address - Phone:303-449-3114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-26
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO128171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist