Individual
KOLTON FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 424-3181
(870) 424-3089
Mailing address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 424-3181
(870) 424-3089
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-14247
AR
Other
Enumeration date
05/28/2018
Last updated
08/22/2022
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