Individual
DR. E FRAZIER WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, ORTHOPAEDIC SURGERY, JACKSON, MS 39216
(601) 984-6525
(601) 984-5151
Mailing address
2500 NORTH STATE STREET, ORTHOPAEDIC SURGERY, JACKSON, MS 39216
(601) 984-6525
(601) 984-5151
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
05169
MS
207XP3100X
Pediatric Orthopaedic Surgery Physician
05169
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013744
—
MS
05
—
0013744
—
MS
01
—
207X00000X
TAXONOMY
MS
01
—
51220014
MCR PTAN
—
Enumeration date
04/24/2007
Last updated
06/14/2012
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