Mr Dennis W Tracy, CRNA | |
701 Lewiston St, Cottonwood, ID 83522 | |
(208) 962-3251 | |
(208) 962-3722 |
Full Name | Mr Dennis W Tracy |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 701 Lewiston St, Cottonwood, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578612065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RNA201 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Dennis W Tracy, CRNA 701 Lewiston St, Cottonwood, ID 83522 Ph: (208) 962-3251 | Mr Dennis W Tracy, CRNA 701 Lewiston St, Cottonwood, ID 83522 Ph: (208) 962-3251 |
Todd K. Mcallister, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3267 | |
Kevin Lienesch, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 |