| NPI | 1538650650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M FRAZEE Owner/Provider 603-424-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 0519) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |