Individual
DEVIN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
805 E 2ND ST STE 3, CASPER, WY 82601-2641
(307) 237-2300
Mailing address
PO BOX 30180, SUITE 600, SALT LAKE CITY, UT 84130-0180
(801) 920-5813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5959165-1206
UT
Other
Enumeration date
03/12/2011
Last updated
03/25/2016
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