Provider Demographics
NPI:1235329194
Name:TRAYLOR, BETH (MD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:
Last Name:TRAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11251 EMORY OAK DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-6123
Mailing Address - Country:US
Mailing Address - Phone:702-341-1653
Mailing Address - Fax:702-341-1678
Practice Address - Street 1:330 S RAMPART BLVD STE 350
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-5754
Practice Address - Country:US
Practice Address - Phone:702-308-0500
Practice Address - Fax:702-341-1678
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG72275207QA0505X
NV9612207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine