Organization
CARL T. HAYDEN VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD TIERNEY (RESIDENCY COORDINATOR)
(602) 448-7224
Entity
Organization
Contact information
Practice address
2322 N 46TH ST, PHOENIX, AZ 85008-2435
(602) 999-8955
Mailing address
2322 N 46TH ST, PHOENIX, AZ 85008-2435
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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