Tessa M Tibben PA-C

NPI 1235389156 - Physician Assistant - 363AM0700X

NPI Details
NPI 1235389156
Gender Female
Enumeration Date 09/27/2008
Last Updated 09/27/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
4855 E BROWN RD STE 100
MESA AZ, 85205-8007, US
Phone (480) 981-5995
Fax
Business Location
6147 N GRANITE REEF RD
SCOTTSDALE AZ, 85250-5868, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Arizona
License Number 4260
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According to our database, Ms. Tessa M Tibben PA-C NPI is 1235389156, taxonomy code is 363AM0700X and license number is 4260, license state is located at Arizona. Tessa M Tibben PA-C physically located at 4855 E Brown Rd Ste 100, Mesa AZ, 85205-8007. NPI Number Tessa M Tibben PA-C has the Individual type.

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1235389156 NPI number is provided on an as is basis without warranty of any kind. 1235389156 is maintained by the National Plan & Provider Enumeration System. The contents of Tessa M Tibben PA-C are for informational purposes only.