# TRACY BIGELOW, DO, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760789762
- **Authorized official:** TRACY L BIGELOW DO (OWNER)
- **Authorized official phone:** (209) 524-4649

## Contact information

- **Practice address:** 1335 COFFEE RD, STE 100, MODESTO, CA 95355-3188
- **Practice address phone:** (209) 524-4649
- **Practice address fax:** (209) 524-7395
- **Mailing address:** 1335 COFFEE RD, STE 100, MODESTO, CA 95355-3188
- **Mailing address phone:** (209) 524-4649
- **Mailing address fax:** (209) 524-7395

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 20A11567 | CA | Yes |

## Other

- **Enumeration date:** 02/28/2011
- **Last updated:** 01/07/2013