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Individual

DR. ARTHUR JESSE TALLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6707 N 19TH AVE, SUITE 103, PHOENIX, AZ 85015-1104
(602) 274-4100
(602) 246-1565
Mailing address
6707 N 19TH AVE, SUITE 103, PHOENIX, AZ 85015-1104
(602) 274-4100
(602) 246-1565

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
213
AZ

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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