Individual
TRACY MARSH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 ENCINO PL NE, ALBUQUERQUE, NM 87102-2612
(505) 272-1312
(505) 272-2240
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2016-0616
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2013-0347
NM
Other
Enumeration date
03/19/2013
Last updated
01/24/2025
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