Individual
DR. KENNETH ROBERT FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KENNETH FRASER MD
Contact information
Practice address
3501 NORTH SCOTTSDALE ROAD, SUITE 150, SCOTTSDALE, AZ 85251-5632
(480) 949-5886
(480) 949-8018
Mailing address
3501 N SCOTTSDALE RD, SUITE 150, SCOTTSDALE, AZ 85251-5648
(480) 949-5886
(480) 949-8018
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
7913
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232653
—
AZ
Enumeration date
10/10/2006
Last updated
09/17/2012
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