TRACY FAMILY PRACTICE CLINIC PA

Preferred Provider Organization

Active Organization
NPI: 1659319150

Practice Address

1940 S WHITEHEAD DR
De Witt, AR 72042

Phone: (870) 946-4505

Specialties

Specialty Code Primary License
Preferred Provider Organization 305R00000X Yes C7340 (AR)

Frequently Asked Questions

NPI 1659319150 is the National Provider Identifier for TRACY FAMILY PRACTICE CLINIC PA, a Preferred Provider Organization provider located in De Witt, AR. This NPI was enumerated on June 4, 2006.

Quick Facts

NPI
1659319150
Type
Organization
Enumerated
Jun 4, 2006
Last Updated
Sep 16, 2010

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