Individual
CHAD A FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-02842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-02842
NCMB
NC
01
—
136600
CONNECTICARE
CT
01
—
290001366CT01
BCBS
CT
Enumeration date
06/29/2006
Last updated
09/10/2018
Update your record
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