Individual
AUSTIN KIMBALL TRAASDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3048 E BASELINE RD STE 120, MESA, AZ 85204-7288
(480) 505-3276
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2024017742
MO
Other
Enumeration date
03/26/2021
Last updated
09/24/2024
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