Individual
DR. JED LAMAR FRAZIER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
185 S MAIN ST, SUITE D, KAMAS, UT 84036-9597
(435) 783-2838
(435) 783-2840
Mailing address
185 S MAIN ST, SUITE D, KAMAS, UT 84036-9597
(435) 783-2838
(435) 783-2840
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5049945-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50499451200001
BCBS
UT
01
—
50499451277001
VALUECARE
UT
01
—
67337
PEHP
UT
05
—
870395551005
—
UT
01
—
QM0000056512
ALTIUS
UT
Enumeration date
11/09/2005
Last updated
07/09/2007
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