# ROBERT W TRACEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356444301
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 0101240463 | VA | Yes |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | 0101240463 | VA | — |

## Other

- **Enumeration date:** 09/06/2006
- **Last updated:** 04/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103217419 | — | PA |