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Individual

DOUGLAS JAMES FRASER JR.

Active
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Individual

DOUGLAS JAMES FRASER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101023876
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08 00148
UNITED HEALTH CARE
01
1682
BCBS NATL CAPITAL PROV NO
01
2146733
MAMSI PROV. NUMBER
01
244846
NCPPO PROV NUMBER
01
274557
ANTHEM PROVIDER NUMBER
VA
01
698420
FIRST HEALTH PROV NUMBER
01
78521
AETNA PROVIDER ID NUMBER
01
ONENET PPO ALLIANCE
2146733
Enumeration date
12/07/2006
Last updated
07/09/2007
Update your record

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