Individual
FRAZIER COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2979 SQUALICUM PKWY, SUITE 203, BELLINGHAM, WA 98225-1811
(360) 733-7670
Mailing address
2979 SQUALICUM PKWY, SUITE 203, BELLINGHAM, WA 98225-1811
(360) 733-7670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.PA.60241893
WA
363AS0400X
Surgical Physician Assistant
Primary
PA.PA.60241893
WA
Other
Enumeration date
09/09/2011
Last updated
02/01/2021
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