David P Tracy in Port Huron - Diagnostic Radiology

David P Tracy - NPI 1033121892

David P Tracy is a Diagnostic Radiology in Port Huron, Michigan. David P Tracy practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David P Tracy is 1033121892. The last update date is 2007-07-08.

David P Tracy's current location address is 1530 Pine Grove Ave, Port Huron, Michigan. You can contact this provider via phone number 8109850029 and fax number 8109850032. The mailing address for David P Tracy is 1530 Pine Grove Ave, Port Huron, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name David P Tracy
Address 1530 Pine Grove Ave, Port Huron, Michigan
Phone Number 8109850029
Fax Number 8109850032
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1033121892
Provider Enumeration Date 2006-08-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1530 Pine Grove Ave
City Port Huron
State Michigan (MI)
Post Code 48060
Phone Number 8109850029
Fax Number 8109850032

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 66578
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4094810 MI --

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FAQs about David P Tracy

What is the unique identifier code issued to David P Tracy by the Centers for Medicare & Medicaid Services?

The David P Tracy has been assigned the NPI (National Provider Identifier) 1033121892. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where David P Tracy's facilities are situated?

The facilities of David P Tracy are physically located at the following address: 1530 Pine Grove Ave, Port Huron, MI, 48060.

What is the area of specialization for David P Tracy, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David P Tracy is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1033121892 to David P Tracy?

The David P Tracy received its 1033121892 assignment from the Centers for Medicare & Medicaid Services on 2006-08-12.

When was the information related to David P Tracy most recently updated or refreshed?

The details pertaining to the David P Tracy, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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