Edward William Tierney DPM

NPI 1053344929 - Podiatrist - 213ES0103X

NPI Details
NPI 1053344929
Gender Male
Enumeration Date 07/07/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
650 E INDIAN SCHOOL RD # 112
PHOENIX AZ, 85012-1839, US
Phone (602) 277-5551
Fax (602) 200-6028
Business Location
4843 S ROOSEVELT ST
TEMPE AZ, 85282-6596, US
Phone (480) 777-9436
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Arizona
License Number DPM 449
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According to our database, Dr. Edward William Tierney DPM NPI is 1053344929, taxonomy code is 213ES0103X and license number is DPM 449, license state is located at Arizona. Edward William Tierney DPM physically located at 650 E Indian School Rd # 112, Phoenix AZ, 85012-1839. NPI Number Edward William Tierney DPM has the Individual type.

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1053344929 NPI number is provided on an as is basis without warranty of any kind. 1053344929 is maintained by the National Plan & Provider Enumeration System. The contents of Edward William Tierney DPM are for informational purposes only.