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Individual

BONNIE JEAN FRASER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3150 N TENAYA WAY, STE 550, LAS VEGAS, NV 89128-0490
(702) 576-5880
(702) 750-1414
Mailing address
PO BOX 401357, LAS VEGAS, NV 89140
(702) 576-5880
(702) 750-1414

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
NV12294
NV

Other

Enumeration date
02/06/2007
Last updated
01/04/2017
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