Brian D Tracy Od

NPI 1093066482 - Optometrist - 152W00000X

NPI Details
NPI 1093066482
Enumeration Date 09/25/2012
Last Updated 09/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRIAN D BRIAN
Position OPTOMETRIST
Phone (916) 454-5729
Fax (916) 454-5784
Practice Location
3000 L ST STE 100
SACRAMENTO CA, 95816-5248, US
Phone (916) 454-5729
Fax (916) 454-5784
Business Location
3000 L ST STE 100
SACRAMENTO CA, 95816-5248, US
Phone (916) 454-5729
Fax (916) 454-5784
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, Brian D Tracy Od NPI is 1093066482, taxonomy code is 152W00000X Brian D Tracy Od physically located at 3000 L St Ste 100, Sacramento CA, 95816-5248. NPI Number 1033115704 has the healthcare provider type.

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1093066482 NPI number is provided on an as is basis without warranty of any kind. 1093066482 is maintained by the National Plan & Provider Enumeration System. The contents of Brian D Tracy Od are for informational purposes only.