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DOUGLAS R FRASER
1707 W CHARLESTON BLVD LAS VEGAS NV 891022354

DOUGLAS R FRASER is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1669639092. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1557686037. The primary specialty is UNDEFINED PHYSICIAN TYPE (SPECIFY). The organization is UNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO. The address is 1707 W CHARLESTON BLVD, , LAS VEGAS, NV, 891022354. The zip code is 891022354.


Nation Provider ID1669639092
PAC ID by PECOS1557686037
Professional Enrollment IDI20150203002164
NameDOUGLAS R FRASER
Medical School NameOTHER
Graduation Year2007
Primary SpecialtyUNDEFINED PHYSICIAN TYPE (SPECIFY)
All secondary specialties
Organization NameUNIVERSITY OF NV SCHOOL OF MEDICINE MULTI SPECIALTY GROUP PRACTICE SO
Group Practice PAC ID3577468354
Number of Group Practice members113
Address1707 W CHARLESTON BLVD, , LAS VEGAS, NV, 891022354
Hospital affiliation LBNUNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
Graduation Year2007
Contact Number7026715140
Email Address[Show_Email_ID]

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