Individual
DR. TRACY IRENE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF UTAH 50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(505) 272-3203
Mailing address
UNIVERSITY OF UTAH, 50 N MEDICAL DR, SALT LAKE CITY, UT 87132
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
10552861-1205
UT
207ZH0000X
Hematology (Pathology) Physician
MD20120889
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
10552861-1205
UT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD20120889
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14173
NEVADA MEDICAL LICENSE
NV
01
—
A62223
CALIFORNIA PHYSICIAN AND SURGEON LICENSE
CA
01
—
MD.207588
LOUISIANA MEDICAL LICENSE
LA
01
—
MD2012-0889
NEW MEXICO MEDICAL BOARD LICENSE
NM
01
—
ME 118408
FLORIDA MEDICAL LICENSE
FL
Enumeration date
01/04/2007
Last updated
12/10/2021
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