TRACEY WALL

CRAIG, CO
NPI1306038492
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CO  PA-2454)
Enumeration Date2007-08-14
Last Update Date2017-04-12
Business Address
-- TRACEY WALL PA-C
785 RUSSELL ST
CRAIG, CO 81625-2019
Phone number: 970-826-2300
Mailing Address
-- TRACEY WALL PA-C
785 RUSSELL ST
CRAIG, CO 81625-2019
Phone number: 970-826-2300
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