Organization
TABB MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BUCKNER (MEMBER/MANAGER)
(602) 421-2730
Entity
Organization
Contact information
Practice address
1001 E WARNER RD, 107, TEMPE, AZ 85284-3224
(602) 421-2730
Mailing address
1001 E WARNER RD, 107, TEMPE, AZ 85284-3224
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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