| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CYNTHIA FRAZIER | 1124616644 | 2021-01-09 |
| Entity Type | Individual |
| Provider Name | Dr. Cynthia Frazier DC |
| Other Provider Name | Cindy Frazier |
| Practice Office Address | 105 N. 54TH ST OMAHA, NE US |
| Practice Office Telephone | 4026500090 |
| Mailing Address | 105 N. 54TH ST OMAHA, NE 68132 US |
| Business Telephone | 4026500090 |
| Code | License No | State |
|---|---|---|
| 111NP0017X PRIMARY | 1175 | NE |