Todd Frazier is a General Practice in Fort Wayne, Indiana. Todd Frazier practices all healthcare services and medical treatments related to General Practice. The NPI Number for Todd Frazier is 1285890426. The last update date is 2022-10-15.
Todd Frazier's current location address is 4402 E State Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604255500 and fax number 2604255505. The mailing address for Todd Frazier is 4402 E State Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Todd Frazier |
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Address | 4402 E State Blvd, Fort Wayne, Indiana |
Phone Number | 2604255500 |
Fax Number | 2604255505 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1285890426 |
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Provider Enumeration Date | 2008-08-06 |
Last Updated Date | 2022-10-15 |
Provider Mailing Address Detail
Address | 4402 E State Blvd |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468156917 |
Phone Number | 2604255500 |
Fax Number | 2604255505 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | 101251011 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
816978 | SC | -- |
Post Comment/ Review Below
What is the Todd Frazier's unique identification number?
The Todd Frazier has been assigned the NPI (National Provider Identifier) Number 1285890426 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Todd Frazier?
The Todd Frazier is physically situated at 4402 E State Blvd, in the city of Fort Wayne, state of IN, with the postal code 468156917.
What is the Todd Frazier's specialty and taxonomy code?
The Todd Frazier's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
When did Todd Frazier receive its 1285890426 assignment?
The Todd Frazier was assigned its 1285890426 on 2008-08-06, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Todd Frazier most recently updated or revised?
The details related to Todd Frazier, including its address, specialty, and other relevant information, were last updated or revised on 2022-10-15.