Organization
TECH MED CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY PETERSEN (CEO)
(602) 503-2849
Entity
Organization
Contact information
Practice address
123 E BASELINE RD, TEMPE, AZ 85283-1270
(602) 503-2849
Mailing address
123 E BASELINE RD, TEMPE, AZ 85283-1270
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10050
AZ
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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