Individual
TALLAN DEPRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 E PINCHOT AVE, PHOENIX, AZ 85018-7434
(602) 957-4000
Mailing address
1955 W BASELINE RD # 113-121, MESA, AZ 85202-9003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
82338
GA
2084P0800X
Psychiatry Physician
Primary
8722
AZ
208D00000X
General Practice Physician
20A18404
CA
208D00000X
General Practice Physician
8722
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
02/12/2026
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