Individual
JAY FRANCIS TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PSYD, LP
Contact information
Practice address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422
(612) 588-0811
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422
(612) 588-0811
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8827
MN
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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