Individual
PETER D FRAGATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 WINDHAM CT, SUITE 1, YOUNGSTOWN, OH 44512-5083
(330) 965-1847
(330) 965-1857
Mailing address
950 WINDHAM CT, STE 1, YOUNGSTOWN, OH 44512-5083
(330) 965-1847
(330) 965-1847
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
35083165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2472748
—
OH
Enumeration date
08/09/2005
Last updated
04/25/2012
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