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Individual

DR. TERESA ELIZABETH FRAZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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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