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Contact Information

AMANDA TRACEY, M.T.
HIGHWAY 264, MILEPOST 388
LABORATORY
POLACCA, AZ86042
 Phone: 928-737-6220
 Fax: 928-737-6047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Laboratory Management

246QL0900X
Indicates primary specialty

NPI Profile & details for AMANDA TRACEY · (Female)

NPI Number 1902121585
Status Active
Credentials M.T.
Entity Individual
Enumeration date 04/07/2010
Last updated 04/07/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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