Individual
TRACY HELENE CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
412 W TAHQUITZ CANYON WAY, PALM SPRINGS, CA 92262-5649
(760) 963-2608
(760) 323-4452
Mailing address
PO BOX 56958, SHERMAN OAKS, CA 91413-1958
(818) 907-7908
(818) 907-5109
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G069410
CA
Other
Enumeration date
06/19/2006
Last updated
10/03/2007
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