Individual
DR. MICHAEL FRAZIER FOMBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
373 W 101ST TER, KANSAS CITY, MO 64114-4498
(816) 942-8200
(913) 495-3760
Mailing address
8550 MARSHALL DR STE 220, LENEXA, KS 66214-1505
(816) 942-8200
(913) 495-3760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0537168
KS
207R00000X
Internal Medicine Physician
Primary
2020032506
MO
Other
Enumeration date
10/28/2011
Last updated
11/01/2021
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