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Individual

MASON FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 801-8000
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
26210
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051107192
BCBS
AL
01
051107193
BCBS
AL
01
051107194
BCBS
AL
01
051107195
BCBS
AL
01
051107196
BCBS
AL
01
051107197
BCBS
AL
01
051107198
BCBS
AL
01
051107199
BCBS
AL
01
051107200
BCBS
AL
01
051107201
BCBS
AL
05
05385312
MS
05
119489
AL
05
119491
AL
05
119492
AL
05
119496
AL
05
119497
AL
05
119499
AL
05
119501
AL
05
119502
AL
05
119504
AL
05
119505
AL
05
1811994015
AL
01
P00858707
RAILROAD MEDICARE
AL
01
Z01256
VIVA
AL
Enumeration date
05/14/2007
Last updated
02/01/2024
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