Doctor Name: | DR. TRACI HILL HULSE |
NPI Number: | 1013344175 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DVM |
License Number: | 3265 |
Business Practice Address: | 20908 W Durango St Buckeye, AZ - 853269701 |
Business Phone Number: | 6233862928 |
Business Fax Number: | 6233867914 |
Mailing Address: | 20908 W Durango St, BUCKEYE |
State: | AZ |
Postal Code: | 853269701 |
Phone Number: | 6233862928 |
Fax Number: | 6233867914 |
NPI Enumeration Date: | 10/03/2013 |
NPI Last Update Date: | 10/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 3265 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |