Individual
BEVON VERNET FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 N 11TH ST, IM: INTERNAL MEDICINE CLINIC, RICHMOND, VA 23298-5002
(804) 828-8786
(804) 828-5466
Mailing address
PO BOX 980509, IM: INTERNAL MEDICINE, RICHMOND, VA 23298-0509
(804) 828-9726
(804) 828-4926
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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