Individual
TRACY L SLOCUM FARRITOR
Active
Individual
TRACY L SLOCUM FARRITOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20562
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04399
BCBS
NE
05
—
0587493
—
IA
05
—
100380190A
—
KS
01
—
10422
MIDLANDS CHOICE
—
05
—
470780857 23
—
NE
01
—
76-00114
UHC
NE
Enumeration date
08/09/2006
Last updated
01/27/2021
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