Individual
TRACI D. BILYEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-7728
(417) 269-7729
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
111634
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220031271
—
MO
Enumeration date
02/07/2007
Last updated
01/04/2022
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