Individual
MATTHEW SHANE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1055 N 500 W, SUITE 207, PROVO, UT 84604-3305
(801) 375-4263
(801) 429-8085
Mailing address
1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101015712
MI
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
324956-1204
UT
Other
Enumeration date
05/05/2007
Last updated
11/27/2023
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