Individual
TRACY MARSH CARLSON
Active
Individual
TRACY MARSH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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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