Individual
TRISTAN PICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 S DOBSON RD, STE 100, CHANDLER, AZ 85224-5680
(602) 795-8700
(602) 795-8701
Mailing address
20280 N 59TH AVE, STE 115-617, GLENDALE, AZ 85308-6850
(602) 795-8700
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
42864
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
DR.0066661
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514699
—
AZ
Enumeration date
05/03/2007
Last updated
06/09/2021
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