Individual
DR. DUNCAN HUGH FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-9191
(307) 754-1291
Mailing address
777 AVENUE H, POWELL, WY 82435-2260
(307) 754-9191
(307) 754-1291
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
104
WY
213EP1101X
Primary Podiatric Medicine Podiatrist
104
WY
213ER0200X
Radiology Podiatrist
104
WY
213ES0000X
Sports Medicine Podiatrist
104
WY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
104
WY
213ES0131X
Foot Surgery Podiatrist
104
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211460001
DMERC #
WI
01
—
307844
BLUE CROSS PROVIDER #
WY
Enumeration date
06/22/2005
Last updated
03/28/2008
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