Individual provider · Type 1 NPI

Bevon Vernet Fraser, MD

Student in an Organized Health Care Education/Training Program · Richmond, VA

NPI number 1326485392 Active

Practice location

417 N 11th St, Im: Internal Medicine Clinic
Richmond, VA 23298-5002

Fax (804) 828-5466

Mailing address

PO Box 980509, Im: Internal Medicine
Richmond, VA 23298-0509

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326485392

Bevon Vernet Fraser, MD's National Provider Identifier is 1326485392, issued on May 30, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Richmond, VA. The record was last updated on May 30, 2013.