Individual
MR. MARK EDWARD DAVID STRACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4922 E WHISPERING SAGE RD, TUCSON, AZ 85706-9057
(520) 248-8703
Mailing address
4922 E WHISPERING SAGE RD, TUCSON, AZ 85706-9057
(520) 248-8703
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
11754
AZ
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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