Individual
MADALYN GRACE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C0006140
MD
Other
Enumeration date
05/18/2016
Last updated
02/17/2023
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