Individual
DR. JEROME FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1401 S DON ROSER DR, SUITE D, LAS CRUCES, NM 88011-4567
(575) 522-2800
(575) 647-8381
Mailing address
PO BOX 2397, MESILLA PARK, NM 88047-2397
(575) 522-2800
(575) 522-7044
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0000
OK
207V00000X
Obstetrics & Gynecology Physician
Primary
A-1560-10
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1534731
MEDICAL UPIN
CA
Enumeration date
07/19/2007
Last updated
08/19/2011
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