Individual
BETH A TRAYLOR
Active
Individual
BETH A TRAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01037733
IN
207L00000X
Anesthesiology Physician
Primary
01037733A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001294679
ANTHEM PTAN
IN
05
—
100120350
—
IN
01
—
1102577642
ANTHEM PTAN
IN
Enumeration date
06/04/2006
Last updated
11/25/2024
Update your record
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