Individual
TANIA SHARLENE KELLERMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1850 N CENTRAL AVE, STE 1600, PHOENIX, AZ 85004-4633
(602) 744-4765
(602) 744-4799
Mailing address
1850 N CENTRAL AVE, STE 1600, PHOENIX, AZ 85004-4633
(602) 744-4765
(602) 744-4799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
26360
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433350
—
AZ
Enumeration date
01/23/2006
Last updated
11/05/2008
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