Individual
TRACI CARDINAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1010 WOODMAN DR, DAYTON, OH 45432-1400
(937) 252-2000
Mailing address
877C STONE CROSSING LN, SPRINGFIELD, OH 45503-5062
(678) 471-1252
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.003064
OH
Other
Enumeration date
03/02/2007
Last updated
08/12/2010
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