Individual
DR. RODGER E TIEDEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5404
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
TL085
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00682662
RAILROAD MEDICARE
AZ
Enumeration date
11/18/2008
Last updated
05/01/2009
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