Organization
SOUTHERN DESERT INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J TINGEY MD (PRESIDENT)
(480) 730-5100
Entity
Organization
Contact information
Practice address
2600 E SOUTHERN AVE, SUITE B2, TEMPE, AZ 85282-7610
(480) 730-5100
(480) 730-6613
Mailing address
2600 E SOUTHERN AVE, SUITE B2, TEMPE, AZ 85282-7610
(480) 730-5100
(480) 730-6613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23746
AZ
363LF0000X
Family Nurse Practitioner
AP1947
AZ
Other
Enumeration date
03/27/2008
Last updated
08/06/2008
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