Individual
TRACY CASAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
119 UCB, BOULDER, CO 80309-0119
(303) 492-5101
Mailing address
119 UCB, BOULDER, CO 80309-0119
(303) 492-5101
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
45638
CO
Other
Enumeration date
01/26/2007
Last updated
11/26/2013
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