Individual
MRS. TRACY PAGE MADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM CPM
Contact information
Practice address
715 RUTH ST, PRESCOTT, AZ 86301
(928) 776-8033
(928) 776-4038
Mailing address
7512 E CLEAR SKY TR, PRESCOTT VALLEY, AZ 86314
(928) 772-8402
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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