Individual
DR. SUSAN L FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1624 S I ST, SUITE 305, TACOMA, WA 98405-5016
(253) 428-8700
(253) 383-3376
Mailing address
1624 S I ST, SUITE 402, TACOMA, WA 98405-5016
(253) 627-4123
(253) 627-0714
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
28553
CO
207RI0200X
Infectious Disease Physician
Primary
MD60539033
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049768
—
WA
Enumeration date
01/03/2006
Last updated
10/06/2023
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