MEDICARE: DENNIS FRAZIER M.D.

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	207Q00000X	Family Medicine Physician	31579	AZ

Other Identifiers

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

General Provider Information

NPI Number	:	1770553398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS FRAZIER M.D.

Provider Business Mailing Address
First Line	:	20271 N SOJOURNER DR
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85387-2851
Country	:	US
Telephone Number	:	623-374-3001
Fax Number	:	623-374-3001

Provider Business Practice Location Address
First Line	:	14416 W MEEKER BLVD
Second Line	:	SUITE 100
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-5284
Country	:	US
Telephone Number	:	623-583-5389
Fax Number	:

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/29/2010

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Directions to “ DENNIS FRAZIER M.D.” Practice Location

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