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Individual

TAMARA I POTTKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1900
(602) 933-1918
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25786
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25786
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
393950
AZ
Enumeration date
12/13/2005
Last updated
03/26/2018
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