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TRACY C CRNIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3215 WINGATE CT STE 102, COLUMBIA, MO 65201-7689
(573) 884-3937
(573) 884-4868
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2025036618
MO
207W00000X
Ophthalmology Physician
L5710
TX
207W00000X
Ophthalmology Physician
ME131719
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
2025036618
MO
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
L5710
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110782600
FL
05
159256006
TX
Enumeration date
03/10/2006
Last updated
09/02/2025
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