Individual
DR. THOMAS A. ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
451 E UNIVERSITY DR, TEMPE, AZ 85281-5390
(480) 965-3349
Mailing address
PO BOX 872104, TEMPE, AZ 85287-2104
(480) 965-3349
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
34771
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983610
—
AZ
Enumeration date
05/19/2006
Last updated
12/15/2021
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