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NPI Code Detail

MEDICARE: TRACY B HOEG MD

MEDICARE:   TRACY B HOEG  MD
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
1208D00000XGeneral Practice Physician50822-020WI
2208100000XPhysical Medicine & Rehabilitation PhysicianC140275CA

General Provider Information

NPI Number : 1225221864
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY B HOEG MD
Provider Business Mailing Address
First Line : 3010 BEARD RD
Second Line :
City : NAPA
State : CA
Zip : 94558-3442
Country : US
Telephone Number : 707-255-8825
Fax Number : 707-255-9325
Provider Business Practice Location Address
First Line : 3421 VILLA LN STE 2B
Second Line :
City : NAPA
State : CA
Zip : 94558-3060
Country : US
Telephone Number : 707-255-5454
Fax Number : 707-255-5411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2007
Last Update Date : 11/28/2018

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