MEDICARE: DR. DAVID HUGH FRAZER JR. M.D

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	207K00000X	Allergy & Immunology Physician	3006	AL

General Provider Information

NPI Number	:	1730140617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID HUGH FRAZER JR. M.D

Provider Business Mailing Address
First Line	:	1420 NARROW LANE PKWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-2654
Country	:	US
Telephone Number	:	334-284-4196
Fax Number	:	334-284-4256

Provider Business Practice Location Address
First Line	:	1420 NARROW LANE PKWY
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36111-2654
Country	:	US
Telephone Number	:	334-284-4196
Fax Number	:	334-284-4256

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	12/21/2009

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