Individual
TARA MARIE LINDSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3501 N SCOTTSDALE RD STE 130, SCOTTSDALE, AZ 85251-5649
(480) 425-5000
Mailing address
2323 W ROSE GARDEN LN, PHOENIX, AZ 85027-2530
(602) 521-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4345
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
384773
—
AZ
01
—
P00688679
RR MEDICARE
AZ
Enumeration date
10/21/2008
Last updated
03/11/2019
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