Individual
DR. TIMOTHY TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-3654
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 387-3654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49847801205
UT
208M00000X
Hospitalist Physician
Primary
4984780-1205
UT
Other
Enumeration date
07/15/2006
Last updated
05/22/2017
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