Organization
FRAZIER AND JARVIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M FRAZIER M.D. (PRESIDENT)
(502) 589-8025
Entity
Organization
Contact information
Practice address
225 ABRAHAM FLEXNER WAY, SUITE 303, LOUISVILLE, KY 40202-1846
(502) 589-8025
Mailing address
225 ABRAHAM FLEXNER WAY, SUITE 303, LOUISVILLE, KY 40202-1846
(502) 589-8025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000332129
ANTHEM BCBS
KY
05
—
200502990A
—
IN
01
—
2446131000
PASSPORT ADVANTAGE
KY
01
—
344534
AETNA HMO
—
01
—
50004779
PASSPORT
KY
05
—
65941676
—
KY
01
—
7822531
AETNA PPO
—
Enumeration date
06/07/2006
Last updated
04/28/2008
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