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Individual
DR. TRACY J WEST
Active
Individual
DR. TRACY J WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4236
AZ
207Q00000X
Family Medicine Physician
Primary
4236
AZ
208D00000X
General Practice Physician
4236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118139
GROUP PTAN
AZ
01
—
118140
PTAN
AZ
01
—
1245423524
GROUP NPI
AZ
Enumeration date
12/27/2005
Last updated
11/20/2009
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