Individual
DR. GARY M FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9662
(270) 932-3694
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33972
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000188189
BCBS
KY
01
—
1139488
PASSPORT
KY
05
—
64339724
—
KY
Enumeration date
04/13/2006
Last updated
10/13/2011
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