Individual
FLORINDA TRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
440 NORTH NAVAJO DRIVE, PAGE, AZ 86040
(928) 645-1700
(928) 645-1701
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4824
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
604841
—
AZ
Enumeration date
03/09/2011
Last updated
10/31/2017
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