MEDICARE: DR. LATOYA N LINTON-FRAZIER MD

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	207R00000X	Internal Medicine Physician	MD425619	PA
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	24497	WV

General Provider Information

NPI Number	:	1487614806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LATOYA N LINTON-FRAZIER MD

Provider Business Mailing Address
First Line	:	PO BOX 1615
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26507-1615
Country	:	US
Telephone Number	:	304-285-3679
Fax Number	:	304-285-3694

Provider Business Practice Location Address
First Line	:	2000 MON HEALTH MEDICAL PARK DR
Second Line	:	SUITE 2300
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-0000
Country	:	US
Telephone Number	:	304-599-8802
Fax Number	:	304-599-5607

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	12/15/2021

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Directions to “ DR. LATOYA N LINTON-FRAZIER MD” Practice Location

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