Individual
DR. TRACY LYNNE CUMBERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, PHD
Contact information
Practice address
5750 W THUNDERBIRD RD STE B200, GLENDALE, AZ 85306-4664
(602) 375-1700
(602) 978-1225
Mailing address
14044 W CAMELBACK RD STE 118J, LITCHFIELD PARK, AZ 85340-9428
(623) 547-2600
(623) 547-1899
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7357
AZ
363A00000X
Physician Assistant
C01254
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469723
—
AZ
Enumeration date
01/30/2007
Last updated
12/27/2022
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