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1659470318

NPI Code Detail

MEDICARE: DR. JAMES C. FRAZIER II MD

MEDICARE: DR. JAMES C. FRAZIER II 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	207P00000X	Emergency Medicine Physician	102289	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	83544	OTHER	AR	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659470318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES C. FRAZIER II MD

Provider Business Mailing Address
First Line	:	801 N LINCOLN AVE
Second Line	:
City	:	MONETT
State	:	MO
Zip	:	65708-1641
Country	:	US
Telephone Number	:	417-354-1150
Fax Number	:	417-354-1160

Provider Business Practice Location Address
First Line	:	801 N LINCOLN AVE
Second Line	:
City	:	MONETT
State	:	MO
Zip	:	65708-1641
Country	:	US
Telephone Number	:	417-354-1150
Fax Number	:	417-354-1160

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	04/23/2015

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Directions to “ DR. JAMES C. FRAZIER II MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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