NPI Index

DR. TRACY IVY, MD

Pediatrics - Pediatric Pulmonology

Active Individual
NPI: 1710111331

Practice Address

1 CHILDRENS PL
DIV PED ALLERGY/IMMUNO/PULMO
Saint Louis, MO 63110

Phone: (314) 454-2694

Specialties

Specialty Code Primary License
Pediatrics 208000000X No 2015008494 (MO)
Pediatrics - Sleep Medicine 2080S0012X No 2015008494 (MO)
Pediatrics - Pediatric Pulmonology 2080P0214X Yes 2015008494 (MO)

Frequently Asked Questions

NPI 1710111331 is the National Provider Identifier for DR. TRACY IVY, MD, a Pediatrics - Pediatric Pulmonology provider located in Saint Louis, MO. This NPI was enumerated on May 11, 2009.
DR. TRACY IVY, MD practices at 1 CHILDRENS PL, DIV PED ALLERGY/IMMUNO/PULMO, Saint Louis, MO 63110.

Quick Facts

NPI
1710111331
Type
Individual
Enumerated
May 11, 2009
Last Updated
Apr 17, 2025

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