Individual
TRACY A. DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3200 S GILBERT RD, UCEXTRA, CHANDLER, AZ 85286-5107
(480) 471-6404
(480) 219-4915
Mailing address
4600 S MILL AVE, STE 280, TEMPE, AZ 85282-6850
(480) 305-2888
(480) 305-2889
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3067
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618135
—
AZ
Enumeration date
04/06/2007
Last updated
10/31/2016
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