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Tracey Way Childers, DO
Otolaryngology/Facial Plastic Surgery Physician in Tahlequah, Oklahoma
NPI 1053371021

Tracey Way Childers is a Otolaryngology/Facial Plastic Surgery Physician based in Tahlequah, OK and is specialized in Otolaryngology/Facial Plastic Surgery. Tracey Way Childers practices in Tahlequah, OK and has the professional credentials of DO. The NPI Number for Tracey Way Childers is 1053371021 and holds a License No. 3296 (Oklahoma).

The current practice location address for Tracey Way Childers is 1203 E Ross Byp, Tahlequah, OK and can be reached out via phone at 918-453-1234 and via fax at 918-453-9107.

Location: 1203 E Ross Byp, Tahlequah, OK, 74464-4188
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Provider Profile Details
NPI Number
1053371021
Provider Name
Tracey Way Childers
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1203 E Ross Byp, Tahlequah, OK, 74464-4188
Phone Number
918-453-1234
Fax Number
918-453-9107
Provider Enumeration Date
03/24/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DA5295 01 OK RAILROAD MEDICARE GROUP NUMBER
P00027981 01 OK RAILROAD MEDICARE PIN NUMBER
200000030A 05 OK
100257460A 05 OK
institution
Provider Business Practice Location Address Details
Address
1203 E Ross Byp
City
State
Zip
74464-4188
Phone Number
918-453-1234
Fax Number
918-453-9107
person
Provider Business Mailing Address Details
Address
1203 E Ross Byp
City
State
Zip
74464-4188
Phone Number
918-453-1234
Fax Number
918-453-9107
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
3296 (Oklahoma)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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