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Organization
TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER
Active
Organization
TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER
Active
Other names
TRACY ORTHOPEDICS AND SPORTS MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK MICHAEL DE MAYO MD (PREDIDENT)
(209) 835-4888
Entity
Organization
Contact information
Practice address
530 W EATON AVE STE E, TRACY, CA 95376-3455
(209) 835-4888
(209) 835-6424
Mailing address
793 S TRACY BLVD STE 332, TRACY, CA 95376-4753
(209) 835-4888
(209) 835-6424
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2251S0007X
Sports Physical Therapist
—
NULL
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
09/17/2019
Last updated
04/21/2023
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