Individual
DR. FRAZIER T. STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12901 BRUCE B DOWNS BLVD, MDC54 USF COM, TAMPA, FL 33612-4742
(813) 974-7131
Mailing address
12901 BRUCE B DOWNS BLVD, MDC54 USF COM, TAMPA, FL 33612-4742
(813) 974-7131
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G059677
CA
207RN0300X
Nephrology Physician
ME 107406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G059677
MEDICAL LICENSE
CA
01
—
ME 107406
LICENSE
FL
Enumeration date
12/07/2005
Last updated
07/14/2010
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