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Individual

ROBERT A TRACY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3056 FLETCHER DR, LOS ANGELES, CA 90065-2207
(323) 256-2231
(323) 892-2571
Mailing address
3056 FLETCHER DR, LOS ANGELES, CA 90065-2207
(323) 256-2231

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
2OA12632
CA

Other

Enumeration date
01/26/2012
Last updated
04/23/2016
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