Doctor Name: | DR. CRAIG A FRAYER |
NPI Number: | 1093799777 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 2069 |
Business Practice Address: | 206 Hospital Ln Suite 201 Perryville, MO - 637751276 |
Business Phone Number: | 5735474899 |
Business Fax Number: | 5735475388 |
Mailing Address: | 206 Hospital Ln, Suite 201 PERRYVILLE |
State: | MO |
Postal Code: | 637751276 |
Phone Number: | 5735474899 |
Fax Number: | 5735475388 |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 01/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VX0000X |
License Number: | 2069 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Obstetrics |
Taxonomy Definition: |