Individual
TATUM THOMAS KOMENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6320 W UNION HILLS DR STE 1400B, GLENDALE, AZ 85308-1061
(877) 821-4657
Mailing address
6320 W UNION HILLS DR STE 1400B, GLENDALE, AZ 85308-1061
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10067
AZ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/13/2022
Last updated
10/24/2023
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