Individual
DR. TIFFANY ALEXIS HOSTEN BLACKMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
500 W THOMAS RD STE 900A, PHOENIX, AZ 85013-4223
(602) 406-3540
(602) 406-7186
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57136
AZ
Other
Enumeration date
06/03/2015
Last updated
06/27/2025
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