Organization
MICHAEL J TINGEY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J TINGEY MD (PRESIDENT CEO)
(480) 730-5100
Entity
Organization
Contact information
Practice address
2600 E SOUTHERN AVE, SUITE B2, TEMPE, AZ 85282-7610
(480) 730-5100
(480) 730-6613
Mailing address
2600 E SOUTHERN AVE, SUITE B2, TEMPE, AZ 85282-7610
(480) 730-5100
(480) 730-6613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z5315
HEALTH NET AZ
AZ
05
—
38089001
—
AZ
01
—
AZ0808220
BCBS AZ
AZ
Enumeration date
05/11/2006
Last updated
02/22/2008
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