Doctor Name: | DR. CHARLES L. TRAMMEL |
NPI Number: | 1134150402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A5922 |
Business Practice Address: | 1995 Errecart Blvd Ste 208 Elko, NV - 898018337 |
Business Phone Number: | 7757384400 |
Business Fax Number: | 7757384405 |
Mailing Address: | 1995 Errecart Blvd Ste 208, ELKO |
State: | NV |
Postal Code: | 898018337 |
Phone Number: | 7757384400 |
Fax Number: | 7757384405 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 07/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A5922 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |