Organization
MARK FRAZIER MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL BURGON (REPRESENTATIVE)
(801) 701-6504
Entity
Organization
Contact information
Practice address
560 W 800 N, OREM, UT 84057-3746
(801) 701-6504
Mailing address
560 W 800 N, OREM, UT 84057-3746
(801) 701-6504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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