Individual
DR. TRACY A FRAUSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7400 S POWER RD, SUITE 140, GILBERT, AZ 85297-9281
(480) 615-2010
(480) 279-1189
Mailing address
PO BOX 16455, MESA, AZ 85211-6455
(480) 615-2010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36504
AZ
208000000X
Pediatrics Physician
A88268
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218244
—
AZ
Enumeration date
09/13/2006
Last updated
01/30/2024
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