Individual
KYLE TISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1489 S. HIGLEY RD, SUITE 101, GILBERT, AZ 85296-4777
(480) 457-8800
(480) 457-8885
Mailing address
1489 S HIGLEY RD, 101, GILBERT, AZ 85296-4776
(480) 457-8800
(480) 457-8885
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6212
AZ
Other
Enumeration date
10/13/2015
Last updated
10/19/2015
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