Provider Demographics
NPI:1972747863
Name:FRASIER, BARRY ALAN (IDMT/NREMT-P)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:ALAN
Last Name:FRASIER
Suffix:
Gender:M
Credentials:IDMT/NREMT-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3-1947 MALVESTI ROAD
Mailing Address - Street 2:
Mailing Address - City:POPE AFB
Mailing Address - State:NC
Mailing Address - Zip Code:28308
Mailing Address - Country:US
Mailing Address - Phone:910-243-1429
Mailing Address - Fax:
Practice Address - Street 1:3-1947 MALVESTI ROAD
Practice Address - Street 2:
Practice Address - City:POPE AFB
Practice Address - State:NC
Practice Address - Zip Code:28308
Practice Address - Country:US
Practice Address - Phone:910-243-1429
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic