Individual
DR. THOMAS HALL FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32 PROFESSIONAL PARK DR, SUITE 108, LOUISA, KY 41230-9644
(606) 638-4656
(606) 638-4658
Mailing address
PO BOX 30, LOUISA, KY 41230-0030
(606) 638-1154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R1271
KY
207RG0100X
Gastroenterology Physician
Primary
41998
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000007716883
BCBS KY
KY
01
—
2632711
WV BCBS
WV
01
—
P00948000
RR MEDICARE
KY
Enumeration date
03/07/2007
Last updated
03/26/2012
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