Individual
JON TILBURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D58671
MD
207R00000X
Internal Medicine Physician
50175
MN
207R00000X
Internal Medicine Physician
Primary
61054
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400527900
—
MD
Enumeration date
07/05/2006
Last updated
04/15/2021
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