Individual
DR. DURELL VINCENT TRAGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3525 OLENTANGY RIVER RD, STE 5360, COLUMBUS, OH 43214-3937
(614) 340-7747
(614) 340-7742
Mailing address
100 E CAMPUS VIEW BLVD, STE 160, COLUMBUS, OH 43235-4647
(614) 396-4750
(614) 396-4742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35060751
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0877029
—
OH
Enumeration date
06/23/2006
Last updated
03/21/2013
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