MEDICARE: AMY J FRAZIER MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	28774	AZ

General Provider Information

NPI Number	:	1679756639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMY J FRAZIER MD PLLC

Provider Business Mailing Address
First Line	:	PO BOX 32146
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85064-2146
Country	:	US
Telephone Number	:	623-236-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 S 7TH AVE
Second Line	:	SUITE 200
City	:	PHOENIX
State	:	AZ
Zip	:	85007-3913
Country	:	US
Telephone Number	:	623-236-2000
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. AMY J FRAZIER
Credential	:
Telephone Number	:	623-236-2000

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	12/29/2011

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