Individual
BRANDON SCOTT DAVISON TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2975 ROSLYN ST, SUITE 100, DENVER, CO 80238-3326
(303) 399-7900
(303) 399-7999
Mailing address
2975 ROSLYN ST, SUITE 100, DENVER, CO 80238-3326
(303) 399-7900
(303) 399-7999
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39563
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24006254
—
CO
Enumeration date
12/23/2005
Last updated
11/21/2007
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