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Individual

DR. SCOTT P TANNEHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9055 E DEL CAMINO DR, SUITE 200, SCOTTSDALE, AZ 85258-2351
(480) 922-4600
(480) 922-5231
Mailing address
3645 S ROME ST, SUITE 116, GILBERT, AZ 85297-7336
(480) 278-8300
(480) 922-5231

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
37492
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32148100
WI
05
326147
AZ
01
Z121865
MEDICARE ID
AZ
Enumeration date
11/03/2005
Last updated
09/11/2013
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