NPI 1184450439

Mary Frazier, NREMT

Practitioner Basic Emergency Medical Technician Wagoner, OK

Practice location

Address: 33038 Long Bay Rd, Wagoner, OK 74467-3682
Phone: (918) 485-9500
Mailing address: 504 Judy Ln # a, Tahlequah, OK 74464-4214

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 58341 (OK)

Other Emergency Medical Technician, Basic providers in Oklahoma →

Registry record

NPI: 1184450439
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2024
Record last updated: 12 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.