Individual
DR. VANESSA TARTAGLIA-KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
18275 N 59TH AVE, BLDG K SUITE 162, GLENDALE, AZ 85308-1254
(602) 547-8184
(602) 547-8339
Mailing address
18275 N 59TH AVE, BLDG K SUITE 162, GLENDALE, AZ 85308-1254
(602) 547-8184
(602) 547-8339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4426
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
7057360001
AZ
Other
Enumeration date
03/15/2007
Last updated
09/14/2018
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