LARRY D TICE

FRUITA, CO
NPI1942213475
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207T00000X Neurological Surgery
(Licence: CO  18565)
Enumeration Date2006-08-14
Last Update Date2014-04-23
Business Address
-- LARRY D TICE MD
551 KOKOPELLI BLVD SUITE I
FRUITA, CO 81521-6305
Phone number: 970-858-2580
Mailing Address
-- LARRY D TICE MD
551 KOKOPELLI BLVD UNIT I
FRUITA, CO 81521-6305
Phone number: 970-858-2580