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Individual

DR. STUART LEE FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6710
Mailing address
3301 N TWELVE OAKS DR, PEORIA, IL 61604-1463
(308) 340-5008

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125.063942
IL
207P00000X
Emergency Medicine Physician
Primary
Q7369
TX

Other

Enumeration date
07/07/2013
Last updated
12/27/2022
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