Individual
ELIZABETH TRAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 486-7171
Mailing address
4512 DIRHAM LN, HILLIARD, OH 43026-8904
(614) 439-0171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001730
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-001730
STATE LICENSE
OH
Enumeration date
04/09/2007
Last updated
04/11/2017
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