Individual
DR. JONATHAN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
819 E MARKET PLACE DR 3RD FLOOR, SPANISH FORK, UT 84660-8466
(801) 374-1801
(801) 216-8357
Mailing address
585 N 500 W, PROVO, UT 84601-1548
(801) 374-1801
(801) 216-8357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12227482
UT
Other
Enumeration date
04/06/2017
Last updated
06/30/2021
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