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Organization

GEROPSYCHMD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY J FRAZIER MD (PHYSICIAN/SOLE MEMBER)
(602) 930-2248
Entity
Organization

Contact information

Practice address
9618 N 35TH PL, PHOENIX, AZ 85028-4934
(602) 930-2248
(623) 399-9958
Mailing address
9618 N 35TH PL, PHOENIX, AZ 85028-4934
(602) 930-2248
(623) 399-9958

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28771
28771
AZ
Enumeration date
07/16/2020
Last updated
07/16/2020
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