Individual provider · Type 1 NPI

Jonathan Tyler Froshaug

Surgical Physician Assistant · Fort Carson, CO

NPI number 1740899780 Active

Practice location

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Call (303) 551-2885 Map

Mailing address

2440 N 11th St
Grand Junction, CO 81501-8102

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA.0006926 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1740899780

Jonathan Tyler Froshaug's National Provider Identifier is 1740899780, issued on Jul 27, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Carson, CO. The record was last updated on Aug 27, 2021.