Doctor Name: | TRACY R ORR |
NPI Number: | 1023037850 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 120040-1205 |
Business Practice Address: | 1380 E Medical Center Dr St George, UT - 847902123 |
Business Phone Number: | 4356884000 |
Business Fax Number: | |
Mailing Address: | 560 W 800 N, OREM |
State: | UT |
Postal Code: | 840573746 |
Phone Number: | 8102256246 |
Fax Number: | 8012251525 |
NPI Enumeration Date: | 07/19/2006 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | 120040-1205 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |