Individual
DR. JOHN K. FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 NORRIS CANYON RD, SUITE 210, SAN RAMON, CA 94583-5440
(925) 355-7350
Mailing address
200 PORTER DR, SUITE 101, SAN RAMON, CA 94583-1587
(925) 838-1440
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G33380
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
G33380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G333800
—
CA
01
—
00G333801
BLUE SHIELD
CA
01
—
20000538
RAIL ROAD MEDICARE
CA
Enumeration date
03/01/2006
Last updated
04/26/2010
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