Dr. Bruce Allen Fraser
Oral and Maxillofacial Pathology
463 Waterbury Ct Suite A
Columbus
, Ohio 43230
Dr. Bruce Allen Fraser
Oral and Maxillofacial Pathology
463 Waterbury Ct Suite A
Columbus
, Ohio 43230
(614) 471-6660
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Bruce Allen Fraser
- 463 Waterbury Ct Suite A
- Columbus, OH
- Zip : 43230
- Fax : (614) 471-6660
- Phone : (614) 471-6600
Second Address
- Dr. Bruce Allen Fraser
- 463 Waterbury Ct Suite A
- Columbus, OH
- Zip : 43230
- Fax : (614) 471-6660
- Phone : (614) 471-6600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | 30017340 | OH |
National Provider Identifier
| NPI | 1225177033 |
|---|---|
| Provider Name | Dr. Bruce Allen Fraser |
| First Address | Columbus, OH 43230 |
| Second Address | Columbus, OH 43230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2007 |
| Last Update Date | 16/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.