Susan M Fraser MD

NPI 1023003621 - Internal Medicine - 207RR0500X

NPI Details
NPI 1023003621
Gender Female
Enumeration Date 09/20/2005
Last Updated 01/28/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
620 10TH STREET N.
ST. PETERSBURG FL, 33705-1407, US
Phone (727) 824-8325
Fax (727) 824-8347
Business Location
PO BOX 12868
ST. PETERSBURG FL, 33733-2868, US
Phone (727) 824-8357
Fax (727) 824-3132
Toxanomy
Taxonomy Code 207RR0500X
License State Florida
License Number ME55701
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According to our database, Dr. Susan M Fraser MD NPI is 1023003621, taxonomy code is 207RR0500X and license number is ME55701, license state is located at Florida. Susan M Fraser MD physically located at 620 10th Street N., St. Petersburg FL, 33705-1407. NPI Number Susan M Fraser MD has the Individual type.

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1023003621 NPI number is provided on an as is basis without warranty of any kind. 1023003621 is maintained by the National Plan & Provider Enumeration System. The contents of Susan M Fraser MD are for informational purposes only.