Provider Demographics
NPI:1902782923
Name:TREALMEDICAL
Entity type:Organization
Organization Name:TREALMEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:REAL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:928-713-3482
Mailing Address - Street 1:56 W CORTEZ DR
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86351-9087
Mailing Address - Country:US
Mailing Address - Phone:928-713-3482
Mailing Address - Fax:
Practice Address - Street 1:56 W CORTEZ DR
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-9087
Practice Address - Country:US
Practice Address - Phone:928-713-3482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty