Individual
MR. JAMES M TRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2808 S 80 AVE, STE 210, OMAHA, NE 68124-3253
(402) 391-1800
(402) 391-1563
Mailing address
2808 S 80 AVE, STE 210, OMAHA, NE 68124-3253
(402) 391-1800
(402) 391-1563
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
154
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47060801501
—
NE
05
—
47060801514
—
NE
Enumeration date
08/19/2005
Last updated
06/30/2011
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