Individual
TRACY L EKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Mailing address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-5926
(515) 241-5127
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
36820
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264995-00
—
NE
05
—
1265500383
—
IA
Enumeration date
11/30/2006
Last updated
09/13/2016
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