Fraser, Cory R

Fraser, Cory R is an individual health care provider with primary practice located at 9003 E Shea Blvd , Scottsdale AZ 85260-6709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Fraser, Cory R can be contacted via phone (480) 323-3383.

Contact Information

Primary practice address
9003 E Shea Blvd Scottsdale AZ 85260-6709
Phone: (480) 323-3383
Fax: (480) 323-3358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 45949 Arizona
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 45949 Arizona
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X MD-14379 Hawaii
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD-14379 Hawaii

Profile Details

NPI number 1134324833
LBN Legal business name Fraser, Cory R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Apr 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134324833 NPPES
Arizona MEDICAID 739672

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