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Individual

RICHARD JOSEPH TRACZYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3818 N ROCKWELL AVE, BETHANY, OK 73008-3350
(405) 787-8820
(405) 495-6523
Mailing address
3818 N ROCKWELL AVE, BETHANY, OK 73008-3350
(405) 787-8820
(405) 495-6523

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
104
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1255250001
DMERC
Enumeration date
07/02/2006
Last updated
03/04/2008
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