Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 01054799A | IN |
N | 208000000X | Pediatrician | MD60322363 | WA |
Y | 2080P0205X | Pediatric Endocrinologist | MD60322363 | WA |
NPI | 1265402564 |
---|---|
Provider Name | Britney Grimes Frazier |
First Address | Tacoma, WA 98405-3720 |
Second Address | Tacoma, WA 98405-3720 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 30/10/2013 |