Individual
TRACY L MCCOY MALOSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1060 W 10TH ST, ROLLA, MO 65401-2905
(573) 426-2860
(573) 202-2405
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 458-3952
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2020027287
MO
208600000X
Surgery Physician
OS015021
PA
Other
Enumeration date
06/29/2010
Last updated
09/14/2020
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