Stephen Dale Frazier in Waterloo - Diagnostic Radiology

Stephen Dale Frazier - NPI 1386698009

Stephen Dale Frazier is a Diagnostic Radiology in Waterloo, Iowa. Stephen Dale Frazier practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stephen Dale Frazier is 1386698009. The last update date is 2007-09-06.

Stephen Dale Frazier's current location address is Po Box 2758, Waterloo, Iowa. You can contact this provider via phone number 3192353716 and fax number 3192331630. The mailing address for Stephen Dale Frazier is Po Box 2758, Waterloo, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen Dale Frazier
Address Po Box 2758, Waterloo, Iowa
Phone Number 3192353716
Fax Number 3192331630
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1386698009
Provider Enumeration Date 2006-05-19
Last Updated Date 2007-09-06

Provider Mailing Address Detail

Address Po Box 2758
City Waterloo
State Iowa (IA)
Post Code 507042758
Phone Number 3192353716
Fax Number 3192331630

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 32977
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
193102 IA --
421417307D4 IA JOHN DEERE HEALTH INS P
49304 IA WELLMARK INS PLAN

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FAQs about Stephen Dale Frazier

What is the unique provider identifier assigned to Stephen Dale Frazier?

The Stephen Dale Frazier has been issued the NPI (National Provider Identifier) 1386698009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Stephen Dale Frazier is physically located?

The Stephen Dale Frazier is situated at the following address: Po Box 2758, Waterloo, IA 507042758.

What is Stephen Dale Frazier's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stephen Dale Frazier's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1386698009 to Stephen Dale Frazier?

The Centers for Medicare & Medicaid Services originally issued the 1386698009 to Stephen Dale Frazier on 2006-05-19.

When was the information pertaining to Stephen Dale Frazier most recently updated or revised?

The details related to Stephen Dale Frazier, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-06.

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