Tracey Wall is a Physician Assistant in Craig, Colorado. Tracey Wall practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tracey Wall is 1306038492. The last update date is 2017-04-12.
Tracey Wall's current location address is 785 Russell St, Craig, Colorado. You can contact this provider via phone number 9708262300. The mailing address for Tracey Wall is 785 Russell St, Craig, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Wall |
|---|---|
| Address | 785 Russell St, Craig, Colorado |
| Phone Number | 9708262300 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306038492 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2017-04-12 |
Provider Mailing Address Detail
| Address | 785 Russell St |
|---|---|
| City | Craig |
| State | Colorado (CO) |
| Post Code | 816252019 |
| Phone Number | 9708262300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-2454 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Tracey Wall?
The Tracey Wall has been issued the NPI (National Provider Identifier) 1306038492 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Tracey Wall?
The Tracey Wall is physically situated at 785 Russell St, in the city of Craig, state of CO, with the postal code 816252019.
What is Tracey Wall's area of expertise and its corresponding taxonomy classification?
The Tracey Wall's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When was the Tracey Wall's 1306038492 issued?
The Tracey Wall's 1306038492 was issued on 2007-08-14.
When was the information regarding Tracey Wall most recently updated?
The details pertaining to the Tracey Wall, including its address, specialty, and other relevant information, were last refreshed on 2017-04-12.
NPI Number: 1902809924
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