Tracy Dermatology Medical Group
Tracy Dermatology Medical Group provides Dermatology Physician services in Tracy, California. Licensed in California. Registered with an NPI since 2005.
- Licensed in
- CA
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
1470 Bessie AveTracy, CA 95376-3417
Phone: (209) 836-2220
Fax: (209) 836-0726
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 20A4430 (CA) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence G49728 (CA) |
Record details
| NPI number | 1871593194 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | N Diakon — Owner · (209) 836-2220 |
| NPI enumerated | July 28, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1470 Bessie Ave, Tracy, CA 95376-3417 |
Other providers in Tracy
-
Dr. Bryan O Barnett, MD
1542A N Tracy Blvd, Tracy, CA 95376-2903 · (209) 836-2220
-
Bryan O. Barnett, MD
1542A N Tracy Blvd, Tracy, CA 95376-2958 · (209) 836-2220