MICHAEL D TRACY

POWELL, WY
NPI1689662595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: WY  6739A)
Additional Taxonomies208000000X Pediatrics
(Licence: WY  6739A)
Enumeration Date2005-10-13
Last Update Date2009-11-05
Business Address
MICHAEL D TRACY M.D.
450 MOUNTAIN VIEW ST
POWELL, WY 82435-2212
Phone number: 307-754-7257
Mailing Address
MICHAEL D TRACY M.D.
449 MOUNTAIN VIEW ST
POWELL, WY 82435-2232
Phone number: 307-754-4559