Individual
TRACY LEE LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-6345
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DOS-1190
HI
Other
Enumeration date
11/08/2007
Last updated
11/08/2007
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