Individual
STUART W FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 N STATE ST, GREENFIELD, IN 46140-1270
(317) 325-2553
(317) 870-0499
Mailing address
801 N. STATE, GREENFIELD, IN 45140-1270
(317) 325-2553
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01039994
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000308973
ANTHEM
IN
05
—
100180610
—
IN
Enumeration date
09/01/2005
Last updated
08/11/2023
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