Individual
MICHAEL A TRALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 LUTHERAN PKWY W, STE 160, WHEAT RIDGE, CO 80033-6013
(303) 425-0449
(303) 425-0449
Mailing address
3555 LUTHERAN PKWY, STE 160, WHEAT RIDGE, CO 80033-6021
(303) 425-0449
(303) 425-0449
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
21450
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01214501
—
CO
Enumeration date
02/09/2007
Last updated
08/05/2011
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