Individual
KERRY TOBIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
625 N. 6TH STREET, PHOENIX, AZ 85004
(602) 406-8222
(602) 406-6242
Mailing address
625 N. 6TH ST., PHOENIX, AZ 85004
(602) 406-8222
(602) 406-6132
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
005850
AZ
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
005850
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
005850
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683683
—
AZ
Enumeration date
07/25/2006
Last updated
07/25/2019
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