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NPI Code Detail

MEDICARE: TRACY D KVARFORDT M D

MEDICARE: TRACY D KVARFORDT M D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician6068NV
2207V00000XObstetrics & Gynecology Physician61169401205UT

General Provider Information

NPI Number : 1053313676
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY D KVARFORDT M D
Provider Business Mailing Address
First Line : 295 S 1470 E STE 300
Second Line :
City : SAINT GEORGE
State : UT
Zip : 84790-1762
Country : US
Telephone Number : 435-674-0999
Fax Number : 435-674-0960
Provider Business Practice Location Address
First Line : 295 S 1470 E STE 300
Second Line :
City : SAINT GEORGE
State : UT
Zip : 84790-1762
Country : US
Telephone Number : 435-674-0999
Fax Number : 435-674-0960
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 10/07/2019

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Directions to “ TRACY D KVARFORDT M D” Practice Location

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