Tracie W Gong, M.D. Valid NPI

Individual provider · Pediatrics Physician · Madera, CA

NPI

1598887515

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

A95349 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-04-03

Last updated

2007-07-08