Individual
TRACEY S. OPPENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2120 S MCCLINTOCK DR, SUITE 105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
1400 E. SOUTHERN AVE, STE. 735, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35733
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133643
—
AZ
Enumeration date
10/03/2006
Last updated
04/23/2017
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