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Individual

DANIEL T TILLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(480) 609-9300
(480) 609-9350
Mailing address
PO BOX 13385, SCOTTSDALE, AZ 85267-3385
(480) 609-9300
(480) 609-9350

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18859
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287591
AZ
Enumeration date
08/16/2006
Last updated
12/31/2014
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