Individual
TIFFANY R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14239 W BELL RD STE 112, SURPRISE, AZ 85374-2470
(623) 876-9983
(623) 876-9984
Mailing address
14239 W BELL RD STE 112, SURPRISE, AZ 85374-2470
(623) 876-9983
(623) 876-9984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4515
AZ
Other
Enumeration date
10/02/2009
Last updated
04/05/2019
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