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Individual
BRIDGET ANNE FRAZER
Active
Individual
BRIDGET ANNE FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-00971
KS
363A00000X
Physician Assistant
Primary
1769
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480100
—
NE
05
—
1619079167
—
IA
05
—
47068731734
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
05
—
47068731798
—
NE
Enumeration date
09/04/2006
Last updated
10/02/2017
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