Individual
DR. TRACY A JECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5150 E. GLENN ST., TUCSON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Mailing address
5150 E. GLENN ST., TUCSON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
37422
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252688
—
AZ
01
—
P00413317
RAILROAD MEDICARE
AZ
Enumeration date
05/21/2007
Last updated
09/16/2020
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