Individual
TOMMIE FOXWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 E MAIN ST, SUITE 102-103, MESA, AZ 85203-9071
(602) 349-2579
(480) 832-0299
Mailing address
7440 E MAIN ST, 09, MESA, AZ 85207-8300
(602) 425-9308
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
202
AZ
Other
Enumeration date
04/22/2017
Last updated
04/22/2017
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