Traci Cardinal, PA
Physician Assistant, Medical in Dayton, OH. Individual provider (NPI-1).
NPI number1487783080
StatusActive
Last updated in NPPESAug 12, 2010
Details
- NPI
- 1487783080
- Entity type
- Individual (NPI-1)
- Name
- Traci Cardinal
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 2, 2007
- Last updated
- Aug 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 50.003064 | OH | Yes |
Practice location
1010 Woodman DrDayton, OH 45432-1400
Phone 937-252-2000
Mailing address
877c Stone Crossing LnSpringfield, OH 45503-5062
Phone 678-471-1252
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