Individual
DR. TRACY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 699-5999
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17997
CA
208D00000X
General Practice Physician
Primary
DO-04824
IA
Other
Enumeration date
10/08/2010
Last updated
11/04/2025
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