Individual
TRACY L. FAIR-PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1605 MARTIN SPRINGS DR, STE 210, ROLLA, MO 65401-2931
(573) 458-6326
(573) 458-6763
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
110764
MO
Other
Enumeration date
11/21/2006
Last updated
04/06/2011
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