Organization Name: | DR TRACY HANKINS MD PC |
NPI Number: | 1053698027 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACY HANKINS (OWNER) |
Mailing Address: | 2010 Injo Dr Lake Havasu City |
State: | AZ US |
Postal Code: | 864035707 |
Phone Number: | 9288545400 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2011 |
NPI Last Update Date: | 09/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 27481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |