Individual
ELIZABETH ANN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 N 28TH ST, RICHMOND, VA 23223-5332
(804) 225-1700
Mailing address
824 WINTHROPE DR, VIRGINIA BEACH, VA 23452-3938
(757) 339-1004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005291
VA
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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