Individual
TARANN HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 943-2381
Mailing address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 943-2381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
55874
AZ
Other
Enumeration date
04/27/2015
Last updated
08/16/2019
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