| NPI | 1639135510 |
|---|---|
| Doing Business As | TRACY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KRISS MILTS Office Manager 209-835-4232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A40558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A53793) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2010-02-05 |