Individual
PRISCILLA ANNE FRASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-5800
(417) 257-5999
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 256-9111
(417) 257-5999
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
2014009222
MO
208M00000X
Hospitalist Physician
Primary
39816
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114965050
—
MO
05
—
3333422
—
TN
01
—
4108303
BLUECROSS
TN
01
—
4152346
BLUECROSS
TN
01
—
P00242684
RAILROAD MEDICARE
TN
Enumeration date
06/03/2006
Last updated
09/27/2024
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