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Organization

THERAPY ASSOCIATES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JON D. FRAZIER MEDICAL DOCTOR (OWNER)
(812) 474-1110
Entity
Organization

Contact information

Practice address
700 N BURKHARDT RD, EVANSVILLE, IN 47715-2740
(812) 474-1110
(812) 474-1303
Mailing address
PO BOX 2368, INDIANAPOLIS, IN 46206-2368
(800) 331-9294
(812) 471-9282

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
207RH0003X
Hematology & Oncology Physician
207RX0202X
Medical Oncology Physician
2085R0001X
Radiation Oncology Physician
Primary
2085R0202X
Diagnostic Radiology Physician
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100248410
IN
05
200875500A
IN
05
200875500B
IN
05
200875500C
IN
05
200875500D
IN
05
200875500E
IN
05
65903858
KY
05
78902871
KY
01
CA0132
RR MEDICARE
IN
01
DO1292
RR MEDICARE
KY
Enumeration date
05/08/2006
Last updated
02/21/2012
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