| NPI | 1174677199 |
|---|---|
| Other Name | FRAZIER DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | REBECCA A CONNER Ar Administrator 865-584-5727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 1748) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-24 |