Individual
JOE WENDELL FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 604-7774
Mailing address
3536 HOOPER RD, NEW WINDSOR, MD 21776-8112
(410) 775-5556
(410) 775-5556
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA030423
DC
363AS0400X
Surgical Physician Assistant
PA030423
DC
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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