Individual
DR. ROBERT C FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 S NEW BALLAS RD, SUITE T-1275, SAINT LOUIS, MO 63141-8222
(314) 251-6844
(314) 251-4337
Mailing address
11475 OLDE CABIN RD, SUITE 200, SAINT LOUIS, MO 63141-7128
(314) 991-8200
(314) 991-8206
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036142186
IL
2085R0001X
Radiation Oncology Physician
Primary
2001008539
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205316201
—
MO
Enumeration date
04/10/2006
Last updated
03/15/2017
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