# DR. TRACY J WEST

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

## Provider details

- **NPI number:** 1790762185
- **Gender:** F
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 4236 | AZ | — |
| 207Q00000X | Family Medicine Physician | 4236 | AZ | Yes |
| 208D00000X | General Practice Physician | 4236 | AZ | — |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 11/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 118139 | GROUP PTAN | AZ |
| 01 | — | 118140 | PTAN | AZ |
| 01 | — | 1245423524 | GROUP NPI | AZ |