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Individual

DR. WENDY DEVONNE FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3433 N HIGHWAY 67, FLORISSANT, MO 63033-1647
(314) 720-4380
(636) 996-7658
Mailing address
660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141-8512
(314) 448-3791
(636) 996-7658

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036149571
IL
207Q00000X
Family Medicine Physician
Primary
2021044775
MO
207Q00000X
Family Medicine Physician
27718
NE

Other

Enumeration date
06/28/2012
Last updated
07/25/2024
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