Individual
TIANA LEILANI GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 S DOBSON RD STE 217, MESA, AZ 85202-4754
(480) 539-4000
(480) 539-7033
Mailing address
4530 E SHEA BLVD STE 180, PHOENIX, AZ 85028-6042
(602) 264-4834
(602) 254-5178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
8529
AZ
Other
Enumeration date
05/22/2020
Last updated
02/12/2025
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