Individual
ELISE TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 S RIDGEVIEW DR STE 201, YUMA, AZ 85364-8880
(928) 344-5055
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70077
AZ
Other
Enumeration date
05/03/2018
Last updated
08/17/2023
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