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Individual
DR. FRAZIER T. STEVENSON
Active
Individual
DR. FRAZIER T. STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G059677
CA
207RN0300X
Nephrology Physician
ME 107406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G059677
MEDICAL LICENSE
CA
01
—
ME 107406
LICENSE
FL
Enumeration date
12/07/2005
Last updated
07/14/2010
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