Individual
DR. TRISHA SIMONE TAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3033 N CENTRAL AVE STE 700, PHOENIX, AZ 85012-2806
(602) 230-7373
(602) 257-8029
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
(602) 230-5105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48619
AZ
208000000X
Pediatrics Physician
48619
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
232402
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02881065
—
NY
05
—
895139
—
AZ
Enumeration date
05/24/2007
Last updated
11/21/2023
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