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Individual
DR. TRACY BETH TOMJACK
Active
Individual
DR. TRACY BETH TOMJACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
13097
ND
207Q00000X
Family Medicine Physician
9080
SD
207Q00000X
Family Medicine Physician
PT 13097
ND
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
13097
ND
Other
Enumeration date
07/15/2010
Last updated
12/19/2019
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