Jason Allen Frazer M.D.

NPI 1659592509 - Pediatrics - 208000000X

NPI Details
NPI 1659592509
Gender Male
Enumeration Date 05/01/2007
Last Updated 01/06/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
3200 MACCORKLE AVE SE
SUITE B16
CHARLESTON WV, 25304-1227, US
Phone (304) 388-5848
Fax (304) 388-9654
Business Location
3200 MACCORKLE AVENUE
HOSPITALIST PROGRAM
CHARLESTON WV, 25304, US
Phone (304) 388-5848
Fax (304) 388-1721
Toxanomy
Taxonomy Code 208000000X
License State West Virginia
License Number 23048
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According to our database, Dr. Jason Allen Frazer M.D. NPI is 1659592509, taxonomy code is 208000000X and license number is 23048, license state is located at West Virginia. Jason Allen Frazer M.D. physically located at 3200 Maccorkle Ave Se, Charleston WV, 25304-1227. NPI Number Jason Allen Frazer M.D. has the Individual type.

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1659592509 NPI number is provided on an as is basis without warranty of any kind. 1659592509 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Allen Frazer M.D. are for informational purposes only.