Individual
DUSTIN CLYDE FRAZIER
Active
Individual
DUSTIN CLYDE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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