Individual
TRACI HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10752 N 89TH PL, SUITE 126, SCOTTSDALE, AZ 85260-6730
(480) 860-2754
(480) 860-6561
Mailing address
10752 N 89TH PL, SUITE 126, SCOTTSDALE, AZ 85260-6730
(480) 860-2754
(480) 860-6561
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29547
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
634114-001
—
AZ
Enumeration date
05/08/2006
Last updated
11/04/2013
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