Individual
TIERSA HW DAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6301 S MCCLINTOCK DR, SUITE 215, TEMPE, AZ 85283-3392
(480) 820-6657
(480) 730-0803
Mailing address
2545 W FRYE RD, SUITE 9, CHANDLER, AZ 85224-6273
(480) 505-4258
(480) 275-8346
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
472176
—
AZ
Enumeration date
06/16/2005
Last updated
06/05/2014
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