Justin Matthew Frazier
Justin Matthew Frazier is a Podiatry in West Des Moines, Iowa. Graduated from College of Podiatric Med and Surgery, Des Moines University in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Colorado.
- Years since qualifying
- 3
- Trained at
- College of Podiatric Med and Surgery, Des Moines University
- Licensed in
- CO
- In the registry since
- 2023
Practice location Address checks out
415 34th StWest Des Moines, IA 50265-4023
Phone: (612) 559-6488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence PDT.0000614 (CO) |
|---|
Record details
| NPI number | 1477248870 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2023 |
| Last updated in NPPES | April 10, 2023 |
| Certification date | April 10, 2023 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY |
| Graduated | 2023 (3 years in practice) |
| Accepts Medicare assignment | Not indicated |
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