Individual
DR. DAVID MARK TRASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
492 MURPHY RD, MEDFORD, OR 97504-8144
(541) 772-0557
(541) 772-1513
Mailing address
492 MURPHY RD, MEDFORD, OR 97504-8144
(541) 772-0557
(541) 772-1513
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14062
OR
207N00000X
Dermatology Physician
MD14062
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026575
—
OR
Enumeration date
03/17/2006
Last updated
08/02/2024
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