SHANE TRACY

MEDFORD, OR
NPI1689197113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA187850)
Enumeration Date2017-07-17
Last Update Date2022-10-05
Business Address
Mr. SHANE TRACY PA-C
2780 E BARNETT RD STE 200
MEDFORD, OR 97504
Phone number: 541-779-6250
Mailing Address
Mr. SHANE TRACY PA-C
2780 E BARNETT RD STE 200
MEDFORD, OR 97504-8674
Phone number: 541-779-6250
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