TRACY L WEST-STALLARD

SOUTHERN MONO HEALTH CARE DISTRICT

Dr TRACY L WEST-STALLARD is a female medical professional, specializing in Occupational Therapy. She graduated in 1996.

Contact

SOUTHERN MONO HEALTH CARE DISTRICT

85 SIERRA PARK RD
MAMMOTH LAKES
CA
935462073

Tel: 7609244084

TRACY L WEST-STALLARD Information

Npi 1013020973
Pac Id 2163721291
Professional Enrollment Id I20180420001303
Last Name WEST-STALLARD
First Name TRACY
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1996
Primary Specialty OCCUPATIONAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTHERN MONO HEALTH CARE DISTRICT
Group Practice Pac Id 9830002401
Number Of Group Practice Members 35
Line 1 Street Address 85 SIERRA PARK RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MAMMOTH LAKES
State CA
Zip Code 935462073
Phone Number 7609244084
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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