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NPI Code Detail

MEDICARE: DAVID THOMAS FRAZEE DO

MEDICARE: DAVID THOMAS FRAZEE DO
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
1207L00000XAnesthesiology Physician34006384OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548256654
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID THOMAS FRAZEE DO
Provider Business Mailing Address
First Line : 601 WASHINGTON AVE
Second Line :
City : NEWPORT
State : KY
Zip : 41071-1986
Country : US
Telephone Number : 859-291-4800
Fax Number : 859-291-4801
Provider Business Practice Location Address
First Line : 1025 CENTER ST
Second Line :
City : ASHLAND
State : OH
Zip : 44805-4011
Country : US
Telephone Number : 419-289-0491
Fax Number : 419-207-2622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2005
Last Update Date : 02/26/2008

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Directions to “ DAVID THOMAS FRAZEE DO” Practice Location

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