Individual
DR. TRACY JOSEPH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(208) 450-2011
Mailing address
WEINGARTL 15, NATTERS, TIROL 6161
(208) 450-2011
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
32547
AZ
207L00000X
Anesthesiology Physician
Primary
37627
IA
207L00000X
Anesthesiology Physician
42192
CO
207L00000X
Anesthesiology Physician
M-8414
ID
207L00000X
Anesthesiology Physician
ME-89192
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10178066
—
CO
Enumeration date
04/12/2007
Last updated
10/24/2010
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