Dr TRACY L DONNELLY is a female medical professional, specializing in Certified Registered Nurse Anesthetist (crna). She graduated in 2015.
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
4647 ZION AVE
SAN DIEGO
CA
921202507
Tel: 6195285000
| Npi | 1538546650 |
| Pac Id | 2668776204 |
| Professional Enrollment Id | I20160202002041 |
| Last Name | DONNELLY |
| First Name | TRACY |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Organization Legal Name | SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP |
| Group Practice Pac Id | 6002729175 |
| Number Of Group Practice Members | 8118 |
| Line 1 Street Address | 4647 ZION AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 921202507 |
| Phone Number | 6195285000 |
| Hospital Affiliation Ccn 1 | 050515 |
| Hospital Affiliation Lbn 1 | KAISER FOUNDATION HOSPITAL - ZION |
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| Professional Accepts Medicare Assignment | Y |
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