Individual
ANTHONY FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
351 ACADEMY ST, TAHLEQUAH, OK 74464-2659
(918) 458-4170
(918) 458-4172
Mailing address
351 ACADEMY ST, TAHLEQUAH, OK 74464-2659
(918) 458-4170
(918) 458-4172
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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