Robert W Frasier III MDPC

NPI 1174693782 - Urology - 208800000X

NPI Details
NPI 1174693782
Gender Male
Enumeration Date 11/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1010 SPRUCE ST STE G
ESPANOLA NM, 87532, US
Phone (505) 753-6771
Fax (505) 747-0312
Business Location
1010 SPRUCE ST STE G
PO BOX 2156
ESPANOLA NM, 87532, US
Phone (505) 753-6771
Fax (505) 747-0312
Toxanomy
Taxonomy Code 208800000X
License State New Mexico
License Number 74158
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According to our database, Robert W Frasier III MDPC NPI is 1174693782, taxonomy code is 208800000X and license number is 74158, license state is located at New Mexico. Robert W Frasier III MDPC physically located at 1010 Spruce St Ste G, Espanola NM, 87532. NPI Number Robert W Frasier III MDPC has the Individual type.

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1174693782 NPI number is provided on an as is basis without warranty of any kind. 1174693782 is maintained by the National Plan & Provider Enumeration System. The contents of Robert W Frasier III MDPC are for informational purposes only.