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Individual

TRACEY R BURNS

Active
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Individual

TRACEY R BURNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

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
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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