Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 8499823-1205 | UT |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 8499823-1205 | UT |
NPI | 1144369935 |
---|---|
Provider Name | Traske Mcneil Muir |
First Address | Atlanta, GA 30384-0253 |
Second Address | Draper, UT 84020-5021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 20/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1265638357 | (05) | UT |