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NPI Code Detail

MEDICARE: DR. JOSEPH TRAXLER M.D.

MEDICARE:  DR. JOSEPH  TRAXLER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology PhysicianGFE12648CA

General Provider Information

NPI Number : 1972931236
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH TRAXLER M.D.
Provider Business Mailing Address
First Line : 12356 AVENIDA CONSENTIDO
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3283
Country : US
Telephone Number : 858-485-0599
Fax Number : 858-485-0599
Provider Business Practice Location Address
First Line : 12356 AVENIDA CONSENTIDO
Second Line :
City : SAN DIEGO
State : CA
Zip : 92128-3283
Country : US
Telephone Number : 858-485-0599
Fax Number : 858-485-0599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2013
Last Update Date : 10/24/2013

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Directions to “ DR. JOSEPH TRAXLER M.D.” Practice Location

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