Tracy Family Practice Clinic PA
NPI #1659319150 in De Witt, Arkansas
Provider Information
- NPI Number
- 1659319150
- Entity Type
- Organization
- Organization Name
- Tracy Family Practice Clinic PA
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 4, 2006
- Last Updated
- Sep 16, 2010
Practice Location
Authorized Official
- Name
- DR. WALLACE LEE TRACY, M.D.
- Title
- OWNER
- Phone
- (870) 946-4505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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