Larry D Tice, MD in Fruita, CO - Neurological Surgery

Larry D Tice, MD is a Neurological Surgery physician based in Fruita, Colorado. Larry D Tice is licensed to practice in Colorado (license number 18565) and his current practice location is 551 Kokopelli Blvd, Suite I, Fruita, Colorado. He can be reached at his office (for appointments etc.) via phone at (970) 858-2580.

NPI number for Larry D Tice is 1942213475 and his current mailing address is 551 Kokopelli Blvd Unit I, Fruita, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942213475.

Contact Information

	Larry D Tice, MD
	551 Kokopelli Blvd, Suite I, Fruita, CO 81521-6305
	(970) 858-2580
	(970) 858-3211

Physician's Profile

Full Name	Larry D Tice
Gender	Male
Speciality	Neurological Surgery
Location	551 Kokopelli Blvd, Fruita, Colorado
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1942213475
Provider Enumeration Date: 08/14/2006
Last Update Date: 04/23/2014

Medical Identifiers

Medical identifiers for Larry D Tice such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942213475	NPI	-	NPPES
01185651	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	18565 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larry D Tice is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Larry D Tice, MD 551 Kokopelli Blvd Unit I, Fruita, CO 81521-6305 Ph: (970) 858-2580	Larry D Tice, MD 551 Kokopelli Blvd, Suite I, Fruita, CO 81521-6305 Ph: (970) 858-2580

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Larry D Tice, MD - Neurological Surgery in Fruita, CO