Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 60957182 | WA |
N | 207X00000X | Orthopaedic Surgeon | 63022 | WI |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 56065 | AZ |
NPI | 1487997862 |
---|---|
Provider Name | Darrin James Trask |
First Address | Olympia, WA 98507-0368 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2013 |
Last Update Date | 10/07/2019 |