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Individual

SIERRA SULLIVAN TIALINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
9328 E RAINTREE DR, SCOTTSDALE, AZ 85260-2098
(602) 266-8463
(602) 266-0122
Mailing address
9328 E RAINTREE DR, SCOTTSDALE, AZ 85260-2098
(602) 266-8463
(602) 266-0122

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
5839
AZ
363AM0700X
Medical Physician Assistant
5839
AZ

Other

Enumeration date
10/04/2014
Last updated
10/31/2024
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