Frazier, Stephen Dale

Frazier, Stephen Dale is an individual health care provider with primary practice located at 1825 Logan Ave , Waterloo IA 50703-1916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Frazier, Stephen Dale can be contacted via phone (319) 235-3716.

Contact Information

Primary practice address
1825 Logan Ave Waterloo IA 50703-1916
Phone: (319) 235-3716
Fax: (319) 233-1630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32977 Iowa

Profile Details

NPI number 1386698009
LBN Legal business name Frazier, Stephen Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Sep 6th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386698009 NPPES
Iowa MEDICAID 0193102
Iowa Other 421417307D4
Iowa Other 49304

Popular Providers