Individual
TRACEY LYNN DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5000
Mailing address
PO BOX 173891, DENVER, CO 80217-3891
(877) 346-2211
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004836
CO
Other
Enumeration date
11/08/2016
Last updated
04/15/2025
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