Individual
TRACY CLYNE BESWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4629 S HARVARD AVE, TULSA, OK 74135-2948
(918) 749-5714
Mailing address
4629 S HARVARD AVE, TULSA, OK 74135-2948
(918) 749-5714
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27111
OK
Other
Enumeration date
05/31/2008
Last updated
07/09/2012
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