Individual
DR. MARK J. TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
3851 ROSECRANS ST, TUBERCULOSIS CONTROL, SAN DIEGO, CA 92110-3115
(619) 692-5565
(619) 692-5602
Mailing address
3851 ROSECRANS ST, TUBERCULOSIS CONTROL, SAN DIEGO, CA 92110-3115
(619) 692-5565
(619) 692-5602
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
G40212
CA
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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