Provider Demographics
NPI:1215064225
Name:FREML, JARED M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:M
Last Name:FREML
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 N FRANKLIN ST
Mailing Address - Street 2:ONCOLOGY DEPARTMENT
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5437
Mailing Address - Country:US
Mailing Address - Phone:303-764-4538
Mailing Address - Fax:303-861-3498
Practice Address - Street 1:2045 FRANKLIN ST
Practice Address - Street 2:ONCOLOGY DEPARTMENT
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5437
Practice Address - Country:US
Practice Address - Phone:303-764-4538
Practice Address - Fax:303-861-3498
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17458208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO013980OtherKAISER COMMERCIAL