Individual
ELLEN LEE BERRY FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3905 WELLNESS WAY, BOZEMAN, MT 59718-2402
(406) 898-1300
(406) 898-1309
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3745
WV
Other
Enumeration date
05/03/2018
Last updated
10/29/2024
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