MEDICARE: DR. ROGER L FRAZIER 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
1	207Q00000X	Family Medicine Physician	02000218B	IN

General Provider Information

NPI Number	:	1902999808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROGER L FRAZIER DO

Provider Business Mailing Address
First Line	:	PO BOX 469
Second Line	:	2008 NO WALNUT ST
City	:	HARTFORD CITY
State	:	IN
Zip	:	47348
Country	:	US
Telephone Number	:	765-348-0902
Fax Number	:	765-348-7276

Provider Business Practice Location Address
First Line	:	2008 NO WALNUT ST
Second Line	:
City	:	HARTFORD CITY
State	:	IN
Zip	:	47348
Country	:	US
Telephone Number	:	765-348-0902
Fax Number	:	765-348-7276

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	03/22/2026

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