Rachel Fraser, PA
Physician Assistant, Medical in London, OH. Individual provider (NPI-1).
NPI number1013374479
StatusActive
Last updated in NPPESSep 29, 2023
Details
- NPI
- 1013374479
- Entity type
- Individual (NPI-1)
- Name
- Rachel Fraser
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2016
- Certification date
- Sep 29, 2023
- Last updated
- Sep 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
| 363A00000X | Physician Assistant | 50.004601RX | OH |
Practice location
210 N Main StLondon, OH 43140-1115
Phone 614-499-1561
Mailing address
3005 Wynstone CtGrove City, OH 43123-8773
Phone 614-499-1561
Other practice locations
371 Lafayette St
London, OH 43140-9326
London, OH 43140-9326
Phone 740-845-6735 · Fax 740-845-6736
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