Individual
DR. JOHN C FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 224-5170
(540) 985-9612
Mailing address
3 RIVERSIDE CIRCLE, ROANOKE, VA 24016
(540) 224-5170
(540) 985-9612
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101-237302
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010117631
—
VA
05
—
010408890
—
VA
05
—
010413117
—
VA
05
—
010413273
—
VA
Enumeration date
01/23/2006
Last updated
01/11/2011
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