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Individual
TRACY EVANS
Active
Individual
TRACY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
219458-1
NY
2086S0102X
Surgical Critical Care Physician
Primary
MD434688
PA
Other
Enumeration date
07/16/2006
Last updated
10/06/2014
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