Individual
TRACEY C DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 HIOAKS RD, RICHMOND, VA 23225-4029
(804) 320-7139
(804) 323-0153
Mailing address
1001 HIOAKS RD, RICHMOND, VA 23225-4029
(804) 320-7139
(804) 323-0153
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101053916
VA
208000000X
Pediatrics Physician
Primary
0101053916
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006724744
—
VA
Enumeration date
04/05/2006
Last updated
09/21/2018
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