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Individual

DR. TINA BACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8111 E THOMAS RD, SUITE 124, SCOTTSDALE, AZ 85251-5844
(602) 954-0444
(602) 952-7146
Mailing address
2733 N POWER RD, SUITE 102-417, MESA, AZ 85215-1682
(602) 954-0444
(602) 952-7146

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24368
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
361519
AHCCCS
AZ
Enumeration date
08/03/2006
Last updated
02/29/2012
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