Individual
HEIDI FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCA
Contact information
Practice address
4880 NE GOODVIEW CIRCLE, LEES SUMMIT, MO 64064
(816) 478-4200
(816) 478-0507
Mailing address
810 SW SHORTHORN DR, GRAIN VALLEY, MO 64029-9025
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2007001605
MO
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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