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Contact Information

TRACY CASAULT, DO
119 UCB
BOULDER, CO80309-0119
 Phone: 303-492-5101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TRACY CASAULT · (Female)

NPI # 1508912197
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/26/2007
Last updated 11/26/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 45638
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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