Austin Kimball Traasdahl, DO
Family Medicine, Adult Medicine in Mesa, AZ. Individual provider (NPI-1).
NPI number1962089730
StatusActive
Last updated in NPPESSep 24, 2024
Details
- NPI
- 1962089730
- Entity type
- Individual (NPI-1)
- Name
- Austin Kimball Traasdahl
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2021
- Certification date
- Sep 24, 2024
- Last updated
- Sep 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 2024017742 | MO | Yes |
Practice location
3048 E Baseline Rd Ste 120Mesa, AZ 85204-7288
Phone 480-505-3276
Mailing address
Po Box 35380Las Vegas, NV 89133-5380
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