Individual
TRACY A ALSHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(319) 364-7730
Mailing address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(319) 364-7730
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0817
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192542
—
IA
Enumeration date
08/31/2005
Last updated
05/09/2018
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