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NPI Code Detail

MEDICARE: FREDERICK RAY FRAME DO

MEDICARE:   FREDERICK RAY FRAME  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
1208D00000XGeneral Practice Physician1091AZ

General Provider Information

NPI Number : 1881757037
Entity Type Code : Individual
Provider Name (Legal Business Name) : FREDERICK RAY FRAME DO
Provider Business Mailing Address
First Line : 4021 N 24TH STREET
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-6232
Country : US
Telephone Number : 602-955-3700
Fax Number :
Provider Business Practice Location Address
First Line : 4021 N 24TH STREET
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-6232
Country : US
Telephone Number : 602-955-3700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/08/2007

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Directions to “ FREDERICK RAY FRAME DO” Practice Location

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