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Individual

DR. TRACI PRITCHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 8037, CAVE CREEK, AZ 85327-8037

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30359
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z7049
HEALTHNET
AZ
01
699473
AHCCCS
AZ
01
AZ0324990
BCBS
AZ
Enumeration date
05/03/2006
Last updated
02/14/2024
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