Organization
TATUM FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SIEFFERT DC (MEMBER)
(480) 205-9447
Entity
Organization
Contact information
Practice address
11030 N TATUM BLVD STE 101, PHOENIX, AZ 85028-6073
(602) 889-9878
Mailing address
11030 N TATUM BLVD STE 101, PHOENIX, AZ 85028-6073
(602) 889-9878
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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