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Individual

MRS. TRACY MCDOUGALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
3660 W BETHANY HOME RD, SUITE A, PHOENIX, AZ 85019-1953
(602) 973-3200
(602) 795-3714
Mailing address
3660 W BETHANY HOME RD, SUITE A, PHOENIX, AZ 85019-1953
(602) 973-3200
(602) 795-3714

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP5344
AZ

Other

Enumeration date
01/24/2014
Last updated
05/15/2015
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