DR. WALLACE TRACY, M.D.
Family Medicine
Active
Individual
NPI: 1366438384
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | C7340 (AR) |
Frequently Asked Questions
NPI 1366438384 is the National Provider Identifier for DR. WALLACE TRACY, M.D., a Family Medicine provider located in De Witt, AR. This NPI was enumerated on September 26, 2005.
DR. WALLACE TRACY, M.D. practices at 1940 S WHITEHEAD DR, De Witt, AR 72042.
Quick Facts
- NPI
- 1366438384
- Type
- Individual
- Enumerated
- Sep 26, 2005
- Last Updated
- Sep 16, 2010
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