Individual
SARA FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
9654391-1206
UT
363AM0700X
Medical Physician Assistant
9654391-1206
UT
Other
Enumeration date
02/11/2016
Last updated
12/04/2019
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