Individual
TRACIE E WALTERSCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
123 EMMA RD, BASALT, CO 81621-9169
(970) 945-2840
(970) 945-2893
Mailing address
2700 GILSTRAP CT STE 230, GLENWOOD SPRINGS, CO 81601-8735
(970) 945-2840
(970) 945-2893
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4636
CO
363A00000X
Physician Assistant
PA07788
TX
Other
Enumeration date
05/04/2012
Last updated
01/04/2019
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