Tracy R Syddall, PA-C is a medical physician assistant in Salt Lake City, UT with 16 years of experience. Tracy R Syddall, PA-C NPI is 1205070091. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1525 W 2100 S
SALT LAKE CITY, UT
ZIP 84119-401
Phone: (801) 213-9700
The NPI 1205070091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/24/2009 and was last updated on 12/13/2021.