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Larry D Tice, MD
Neurological Surgery Physician in Fruita, Colorado
NPI 1942213475

Larry D Tice is a Neurological Surgery Physician based in Fruita, CO. Larry D Tice practices in Fruita, CO and has the professional credentials of MD. The NPI Number for Larry D Tice is 1942213475 and holds a License No. 18565 (Colorado).

The current practice location address for Larry D Tice is 551 Kokopelli Blvd, Fruita, CO and can be reached out via phone at 970-858-2580 and via fax at 970-858-3211.

Location: 551 Kokopelli Blvd, Fruita, CO, 81521-6305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942213475
Provider Name
Larry D Tice
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
551 Kokopelli Blvd, Fruita, CO, 81521-6305
Phone Number
970-858-2580
Fax Number
970-858-3211
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01185651 05 CO
institution
Provider Business Practice Location Address Details
Address
551 Kokopelli Blvd
City
Fruita
State
Colorado
Zip
81521-6305
Phone Number
970-858-2580
Fax Number
970-858-3211
person
Provider Business Mailing Address Details
Address
551 Kokopelli Blvd
City
Fruita
State
Colorado
Zip
81521-6305
Phone Number
970-858-2580
Fax Number
970-858-3211
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
18565 (Colorado)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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