Conner, Tracy Marrs

Conner, Tracy Marrs is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Cardiology, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Conner, Tracy Marrs can be contacted via phone (314) 454-6095.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Cardiology Saint Louis MO 63110-1002
Fax: (314) 454-2561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2021032817 Missouri
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 2021032817 Missouri

Profile Details

NPI number 1487092987
LBN Legal business name Conner, Tracy Marrs
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2013
Last updated Apr 25th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487092987 NPPES
Missouri MEDICAID 200100669

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