Healthcare Provider Details

I. General information

NPI: 1487614806
Provider Name (Legal Business Name): LATOYA N LINTON-FRAZIER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 12/15/2021
Certification Date: 12/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 MON HEALTH MEDICAL PARK DR SUITE 2300
MORGANTOWN WV
26505-0000
US

IV. Provider business mailing address

PO BOX 1615
MORGANTOWN WV
26507-1615
US

V. Phone/Fax

Practice location:
  • Phone: 304-599-8802
  • Fax: 304-599-5607
Mailing address:
  • Phone: 304-285-3679
  • Fax: 304-285-3694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD425619
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number24497
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: