Organization
TIFFANY WEATHERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY WEATHERS MD (OBGYN)
(479) 790-4905
Entity
Organization
Contact information
Practice address
5204 VILLAGE PKWY, SUITE #11, ROGERS, AR 72758-8104
(479) 790-4905
Mailing address
5204 VILLAGE PKWY, SUITE #11, ROGERS, AR 72758-8104
(479) 790-4905
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
42194
AZ
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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