Individual
DR. TIFFANY KARLA YNOSENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(972) 415-9114
Mailing address
442 N LA CHOLLA BLVD, TUCSON, AZ 85745-2163
(972) 415-9114
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
59528
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
59528
AZ
207RP1001X
Pulmonary Disease Physician
59528
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2013
Last updated
07/09/2021
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