Whalio Doctors

NPI 1053553495

Neil a Tracy, MD

Practitioner Pediatrics Physician Fayetteville, AR

Practice location

Address
3215 N. North Hill Road, Fayetteville, AR 72703-4424
Phone
(479) 463-7102
Fax
(479) 463-7864
Mailing address
PO Box 550, Lowell, AR 72745-0550

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence E-7197 (AR)

Registry record

NPI
1053553495
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Mar 2009
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.