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Individual
DR. SCOTT P TANNEHILL
Active
Individual
DR. SCOTT P TANNEHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
37492
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32148100
—
WI
05
—
326147
—
AZ
01
—
Z121865
MEDICARE ID
AZ
Enumeration date
11/03/2005
Last updated
09/11/2013
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