Individual
RYAN FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3326 N 3RD AVE STE 201, PHOENIX, AZ 85013-4336
(602) 625-7944
Mailing address
1532 W FLOWER CIR S, PHOENIX, AZ 85015-5840
(720) 951-1176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7003
AZ
207QB0002X
Obesity Medicine (Family Medicine) Physician
7003
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
7003
AZ
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
10/22/2024
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