Individual
TRACY E NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
1432 S DOBSON RD, STE 402, MESA, AZ 85202-4768
(480) 391-8989
(480) 391-8985
Mailing address
1432 S DOBSON RD, STE 402, MESA, AZ 85202-4768
(480) 391-8989
(480) 391-8985
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2446
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552233
—
AZ
01
—
86080015085259A660
TRIWEST
AZ
01
—
970019015
RAILROAD MEDICARE
AZ
Enumeration date
11/20/2005
Last updated
04/22/2009
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