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Individual

ROBERT CONATY TRACY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 865-2246
(513) 865-5596
Mailing address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 865-2246
(513) 865-5596

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35131542
OH
208M00000X
Hospitalist Physician
Primary
35131542
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0237527
OH
Enumeration date
06/10/2014
Last updated
11/29/2018
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