Individual
MALCOLM R FRASER
Active
Individual
MALCOLM R FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME36199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010065834
RAILROAD MEDICARE
FL
01
—
010066083
RAILROAD MEDICARE
FL
01
—
010066171
RAILROAD MEDICARE
FL
05
—
039210300
—
FL
01
—
62242
BC/BS FLA
FL
Enumeration date
09/01/2005
Last updated
09/22/2014
Update your record
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