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Justin Matthew Frazier
Student in an Organized Health Care Education/Training Program in West Des Moines, Iowa
NPI 1477248870

Justin Matthew Frazier is a Student in an Organized Health Care Education/Training Program based in West Des Moines, IA. Justin Matthew Frazier practices in West Des Moines, IA. The NPI Number for Justin Matthew Frazier is 1477248870 and holds a License No. PDT.0000614 (Iowa).

The current practice location address for Justin Matthew Frazier is 415 34Th St, West Des Moines, IA and can be reached out via phone at 612-559-6488.

Location: 415 34Th St, West Des Moines, IA, 50265-4023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477248870
Provider Name
Justin Matthew Frazier
Credential
Provider Entity Type
Individual
Gender
Male
Address
415 34Th St, West Des Moines, IA, 50265-4023
Phone Number
612-559-6488
Fax Number
Provider Enumeration Date
04/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
415 34Th St
City
West Des Moines
State
Iowa
Zip
50265-4023
Phone Number
612-559-6488
Fax Number
person
Provider Business Mailing Address Details
Address
415 34Th St
City
West Des Moines
State
Iowa
Zip
50265-4023
Phone Number
612-559-6488
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PDT.0000614 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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