Individual
JONATHAN JOSEPH TANSILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1213
(602) 933-1214
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-1213
(602) 933-1214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9911
AZ
Other
Enumeration date
07/31/2023
Last updated
02/10/2026
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