NPI 1598977944 · live from the CMS NPI Registry
Matthew Shane Frazier, DO
Orthopaedic Surgery, Hand Surgery in Provo, UT. National Provider Identifier 1598977944, active.
NPI record
| NPI | 1598977944 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Hand Surgery 207XS0106X |
| Practice location | 1055 N 500 W, Suite 207, Provo, UT 84604 |
| Practice phone | 801-375-4263 |
| Mailing address | 1055 N 500 W, Credentialing Department, Provo, UT 84604 |
| Enumerated | May 5, 2007 |
| Last updated | November 27, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Hand Surgery primary | 207XS0106X | 324956-1204 (UT) |
| Orthopaedic Surgery | 207X00000X | 5101015712 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.