Organization
TAMAR K GOTTFRIED MD, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA CANTUA (OFFICE MANAGER)
(480) 545-0059
Entity
Organization
Contact information
Practice address
1520 S DOBSON RD, SUITE 316, MESA, AZ 85202-4725
(480) 545-0059
(480) 632-2134
Mailing address
1520 S DOBSON RD, SUITE 316, MESA, AZ 85202-4725
(480) 545-0059
(480) 632-2134
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
26354
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422650
—
AZ
05
—
566058
—
AZ
Enumeration date
09/21/2011
Last updated
11/05/2024
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