Individual
DR. MARC STEVEN TRAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 ENCINO PL NE STE 14, ALBUQUERQUE, NM 87102
(505) 272-1777
(505) 272-2360
Mailing address
PO BOX 860, WHITERIVER, AZ 85941-0860
(928) 338-4911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
17404
AZ
207Q00000X
Family Medicine Physician
Primary
MD2018-0258
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295993376
—
AZ
05
—
1629236716
—
AZ
05
—
1780614008
—
AZ
05
—
1871523191
—
AZ
05
—
409715
—
AZ
Enumeration date
07/31/2006
Last updated
08/24/2018
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