Individual
ALICE ANNE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 DAWN LN, WAVERLY, OH 45690-9138
(740) 947-2186
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34005990F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000319938
BCBS
—
01
—
000000528249
ANTHEM/BCBS
OH
01
—
000000552750
ANTHEM/BCBS
OH
05
—
0143197
—
OH
Enumeration date
05/02/2006
Last updated
11/10/2011
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