Individual
TALA ANOUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1101 N WILMOT STE 1, TUCSON, AZ 85712
(520) 396-4450
Mailing address
1101 N WILMOT STE 1, TUCSON, AZ 85712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5884
AZ
Other
Enumeration date
01/22/2015
Last updated
03/19/2015
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