Individual
ROBERT W FRASIER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDPC
Contact information
Practice address
612 N PASEO DE ONATE STE D, ESPANOLA, NM 87532-2963
(505) 753-6771
Mailing address
PO BOX 2156, ESPANOLA, NM 87532-2156
(505) 753-6771
(505) 747-0312
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
74158
NM
Other
Enumeration date
11/09/2006
Last updated
03/17/2018
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