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Organization

BREASTNET SCREENING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHY TIGGES (CREDENTIALIST)
(602) 765-9279
Entity
Organization

Contact information

Practice address
13090 N 94TH DR, 102, PEORIA, AZ 85381-4256
(623) 815-8200
(602) 765-9513
Mailing address
4401 E JANICE WAY, PHOENIX, AZ 85032-8511
(602) 765-9279
(602) 765-9513

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11346
AZ

Other

Enumeration date
10/11/2006
Last updated
08/22/2020
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