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NPI Code Detail

MEDICARE: MELINDA FRAZEE

MEDICARE: MELINDA FRAZEE
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
1207Q00000XFamily Medicine Physician29127WV

General Provider Information

NPI Number : 1427403807
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA FRAZEE
Provider Business Mailing Address
First Line : 527 MEDICAL PARK DR
Second Line : STE 500
City : BRIDGEPORT
State : WV
Zip : 26330-9008
Country : US
Telephone Number : 681-342-3600
Fax Number : 681-342-3625
Provider Business Practice Location Address
First Line : 100 STONEY HILL RD
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-1589
Country : US
Telephone Number : 304-285-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2016
Last Update Date : 04/06/2022

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Directions to “ MELINDA FRAZEE ” Practice Location

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