Individual
MARK ALAN TIFFANY
Active
Individual
MARK ALAN TIFFANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
64010
AZ
208VP0014X
Interventional Pain Medicine Physician
MD2022-1545
NM
Other
Enumeration date
08/28/2006
Last updated
07/29/2024
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