Individual
KYLE C. FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 744-2553
(918) 744-3482
Mailing address
4142 S MINGO RD, TULSA, OK 74146-3632
(918) 744-2553
(918) 744-3482
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
11017906-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
37896
OK
Other
Enumeration date
11/29/2018
Last updated
08/19/2021
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