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1386698009
STEPHEN DALE FRAZIER
WATERLOO, IA
NPI
1386698009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IA 32977)
Enumeration Date
2006-05-19
Last Update Date
2007-09-06
Business Address
-- STEPHEN DALE FRAZIER MD
1825 LOGAN AVE
WATERLOO, IA 50703-1916
Phone number: 319-235-3716
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Mailing Address
-- STEPHEN DALE FRAZIER MD
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 319-235-3716
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