Carol A Frazier is a Clinical in Gallup, New Mexico. Carol A Frazier practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carol A Frazier is 1902889389. The last update date is 2014-12-04.
Carol A Frazier's current location address is 513 Williams St Bldg 15, Gallup, New Mexico. You can contact this provider via phone number 5057223761 and fax number 5057220723. The mailing address for Carol A Frazier is 513 Williams St Bldg 15, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol A Frazier |
|---|---|
| Address | 513 Williams St Bldg 15, Gallup, New Mexico |
| Phone Number | 5057223761 |
| Fax Number | 5057220723 |
| Sole Proprietor | N |
| Credentials | LICSW, BCD |
NPI Number Detail
| NPI Number | 1902889389 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2014-12-04 |
Provider Mailing Address Detail
| Address | 513 Williams St Bldg 15 |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 873014799 |
| Phone Number | 5057223761 |
| Fax Number | 5057220723 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LW00005520 |
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What is the unique identifier code issued to Carol A Frazier by the Centers for Medicare & Medicaid Services (CMS)?
The Carol A Frazier has been assigned the NPI (National Provider Identifier) 1902889389. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Carol A Frazier's physical address?
The Carol A Frazier is physically located at 513 Williams St Bldg 15, in the city of Gallup, NM, with the postal code 873014799.
What is the Carol A Frazier's specialty and taxonomy code?
The Carol A Frazier's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the Carol A Frazier's 1902889389 issued?
The Carol A Frazier's 1902889389 was issued on 2005-11-21.
As of what date were the details related to Carol A Frazier most recently updated or revised?
The information pertaining to Carol A Frazier, including its address, specialty, and other relevant details, was last updated or revised on 2014-12-04.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA