Individual
DR. MICHAEL B TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
380 EMPIRE RD, SUITE 200, LAFAYETTE, CO 80026-2677
(303) 578-7050
(303) 926-7359
Mailing address
380 EMPIRE RD, SUITE 200, LAFAYETTE, CO 80026-2677
(303) 578-7050
(303) 926-7359
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
46562
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
93731337
—
CO
Enumeration date
09/11/2007
Last updated
10/31/2012
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