MR. Dennis W Tracy, CRNA
NPI #1578612065 in Cottonwood, Idaho
Provider Information
- NPI Number
- 1578612065
- Entity Type
- Individual
- Name
- MR. Dennis W Tracy, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 701 LEWISTON ST
- City
- Cottonwood
- State
- Idaho
- ZIP Code
- 83522
- Phone
- (208) 962-3251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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