Provider Demographics
NPI:1295232270
Name:FRAZIER, WILLIAM ROBINSON IV (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROBINSON
Last Name:FRAZIER
Suffix:IV
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:10 CENTER DR STE 5C103
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0004
Mailing Address - Country:US
Mailing Address - Phone:301-402-5891
Mailing Address - Fax:202-444-2813
Practice Address - Street 1:10 CENTER DR STE 5C103
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0004
Practice Address - Country:US
Practice Address - Phone:301-402-5891
Practice Address - Fax:202-890-8160
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012780632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology