Individual
TRACI N FITZHUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6301 S MCCLINTOCK DR STE 215, TEMPE, AZ 85283-3394
(480) 820-6657
(480) 730-0803
Mailing address
2545 W FRYE RD STE 9, CHANDLER, AZ 85224-6273
(480) 505-4258
(480) 505-3689
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
50591
AZ
207V00000X
Obstetrics & Gynecology Physician
D67627
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
068693
—
AZ
01
—
D67627
STATE MEDICAL LICENSE
MD
Enumeration date
08/08/2006
Last updated
01/23/2020
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