David Gray Fraser in Santa Rosa - Vascular Surgery
David Gray Fraser - NPI 1588759807
David Gray Fraser is a Vascular Surgery in Santa Rosa, California. David Gray Fraser practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for David Gray Fraser is 1588759807. The last update date is 2007-07-09.
David Gray Fraser's current location address is 121 Sotoyome St, Santa Rosa, California. You can contact this provider via phone number 7075463141 and fax number 7075467351. The mailing address for David Gray Fraser is 121 Sotoyome St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Gray Fraser |
|---|---|
| Address | 121 Sotoyome St, Santa Rosa, California |
| Phone Number | 7075463141 |
| Fax Number | 7075467351 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588759807 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 121 Sotoyome St |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954054823 |
| Phone Number | 7075463141 |
| Fax Number | 7075467351 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | G14548 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G145480 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David Gray Fraser by the Centers for Medicare & Medicaid Services?
The David Gray Fraser has been assigned the NPI (National Provider Identifier) 1588759807. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David Gray Fraser is physically located?
The David Gray Fraser is physically situated at the following address: 121 Sotoyome St, Santa Rosa, CA, 954054823.
What is the area of specialization for David Gray Fraser, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Gray Fraser is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the David Gray Fraser receive the assignment of its 1588759807 from the Centers for Medicare & Medicaid Services?
The David Gray Fraser was issued its 1588759807 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date was the information pertaining to David Gray Fraser, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Gray Fraser, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.