Individual
TRACY A HENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7001
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7001
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD00043398
WA
Other
Enumeration date
09/22/2006
Last updated
03/21/2011
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