Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACY BETH TOMJACK, D.O.
ActiveDR. TRACY BETH TOMJACK, D.O. is a Sports Medicine healthcare provider located in WATFORD CITY, North Dakota. NPI 1508179854 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · WATFORD CITY, ND
Registration Details
- NPI Number
- 1508179854
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2010 (16.038065655772 yrs)
- Last Updated
- Dec 19, 2019
- Licenses
-
9080 (SD)PT 13097 (ND)13097 (ND)13097 (ND)
Practice Information
- Address
-
709 4TH AVE NEWATFORD CITY, ND, 588547628Browse ND providers · Browse ZIP 58854
- Phone
- 7014448730
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.