Individual
DR. BRADLEY FRASIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3609 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 637-2500
(760) 637-2501
Mailing address
3609 VISTA WAY, OCEANSIDE, CA 92056-4522
(760) 637-2500
(760) 637-2501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G56768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076530
—
CA
Enumeration date
07/12/2006
Last updated
12/10/2012
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