Individual
DUSTIN CLYDE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 100, ABINGDON, VA 24211-7664
(276) 258-1760
(276) 258-1765
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 100, ABINGDON, VA 24211-7664
(276) 258-1760
(276) 258-1765
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101255163
VA
207X00000X
Orthopaedic Surgery Physician
H2382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031314002
—
TX
05
—
100141830A
—
OK
05
—
1396799326
—
VA
01
—
P01555089
RAILROAD MEDICARE
VA
05
—
Q003659
—
TN
Enumeration date
05/22/2006
Last updated
02/02/2017
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