Individual
DR. TRACY ANNE TAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
18523 CORWIN RD STE A, APPLE VALLEY, CA 92307-2300
(909) 712-2764
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1462
(360) 729-3104
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
27912
OR
208600000X
Surgery Physician
C175274
CA
208600000X
Surgery Physician
MD-48236
IA
208600000X
Surgery Physician
MD60957762
WA
2086S0127X
Trauma Surgery Physician
MD-48236
IA
Other
Enumeration date
05/30/2007
Last updated
08/22/2025
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