Individual
DR. TERESA ELIZABETH FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
510 CHERRY ST, SUITE #201, BLUEFIELD, WV 24701-3338
(304) 327-1630
(304) 327-1660
Mailing address
1320 MAPLEWOOD AVE, SUITE #201, RONCEVERTE, WV 24970-8016
(304) 647-4411
(304) 645-1439
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
19621
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010119294
—
VA
05
—
1808202000
—
WV
Enumeration date
09/20/2006
Last updated
03/11/2016
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