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Individual

TRACEY R BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
575 WHITE POND DR, SUITE A, AKRON, OH 44320-1184
(330) 835-1629
(330) 835-3863
Mailing address
4609 BEACH RD, MEDINA, OH 44256-8461
(330) 696-1947
(440) 816-5306

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
36-00-3188
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000201218
ANTHEM
OH
05
2383755
OH
01
2700867
UNITED HEALTHCARE
OH
01
94557
QUALCHOICE
OH
Enumeration date
06/08/2006
Last updated
09/14/2012
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