# DR. JED LAMAR FRAZIER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417938184
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 5049945-1202 | UT | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50499451200001 | BCBS | UT |
| 01 | — | 50499451277001 | FEDERAL | UT |
| 01 | — | 67337 | PEHP | UT |
| 05 | — | 870395551005 | — | UT |
| 01 | — | QM0000056512 | ALTIUS | UT |
