DR. Wallace Lee Tracy, M.D.

NPI #1366438384 in De Witt, Arkansas

Provider Information

NPI Number
1366438384
Entity Type
Individual
Name
DR. Wallace Lee Tracy, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Sep 26, 2005
Last Updated
Sep 16, 2010

Practice Location

Address
1940 S WHITEHEAD DR
ZIP Code
72042-2906
Phone
(870) 946-4505

Specialties & Taxonomy Codes

Specialty
Family Medicine

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