Individual
MR. SCOTT FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1071 W. BLUE STARR DRIVE, CLAREMORE, OK 74017-5421
(918) 342-3800
(918) 342-3900
Mailing address
165 STEVE BERRY BLVD, PRYOR, OK 74361
(981) 342-3800
(918) 342-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1106995
TX
225100000X
Physical Therapist
Primary
4175
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300522021
MEDICARE GROUP
OK
01
—
73-1601XXX
HEALTHCHOICE
OK
01
—
G3207
PREFERRED COMMUNITYCARE
OK
01
—
GROUP CONTRACT
THERAMATRIX
OK
Enumeration date
12/02/2005
Last updated
06/26/2013
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