Individual
HALEY TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5424 E SOUTHERN AVE STE 101, MESA, AZ 85206-3621
(480) 633-6200
Mailing address
5424 E SOUTHERN AVE STE 101, MESA, AZ 85206-3621
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6462
AZ
Other
Enumeration date
09/23/2016
Last updated
09/14/2018
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