Individual
MRS. TRACY LYNN MAALOUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
407 W JEFFERSON ST STE B, BUTLER, PA 16001-5485
(724) 283-1005
(724) 283-4612
Mailing address
105 DEER RUN DR, BUTLER, PA 16001-2873
(724) 482-4188
(724) 283-4612
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA001492L
PA
Other
Enumeration date
10/05/2006
Last updated
10/04/2016
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