Individual
PAUL D FRAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 MOUNTAIN VIEW RD, RAPID CITY, SD 57702-3414
(605) 719-7205
(605) 719-7007
Mailing address
PO BOX 3450, RAPID CITY, SD 57709-3450
(605) 719-7205
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2427
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100845
—
SD
Enumeration date
09/24/2006
Last updated
07/08/2007
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