Tracie Gordon

NPI #1053955153 in Winfield, Kansas

Provider Information

NPI Number: 1053955153
Entity Type: Individual
Name: Tracie Gordon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Enumeration Date: Oct 31, 2019
Last Updated: Oct 31, 2019

Practice Location

Address: 800 MAIN ST
City: Winfield
State: Kansas
ZIP Code: 67156-2859
Phone: (620) 221-4772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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Organizations

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