Most Relevant Information
Provider Data
NPI Number: | 1003438730 |
Provider Name: | TRACY ADAMS DO |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | MRO-1915 |
Most Important Dates
Enumeration Date: | 05/15/2020 |
Last Updated: | 05/15/2020 |
Provider Practice Location
777 N RAYMOND ST
BOISE
ID
837049251
Practice Location Phone/Fax
Phone: | 2085142500 |
Fax: |
Provider Mailing Location
777 N RAYMOND ST
BOISE
ID
837049251
Provider Mailing Phone/Fax
Phone: | 2085142500 |
Fax: |
Suggested EMR
Family Practice EMR