Individual
TRACEY L FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 BRIARGATE BLVD STE 840, COLORADO SPRINGS, CO 80920-3456
(719) 649-6362
Mailing address
1710 BRIARGATE BLVD STE 840, COLORADO SPRINGS, CO 80920-3456
(719) 649-6362
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
01/31/2018
Last updated
02/20/2020
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