Individual
TARA GRIESEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1900 N HIGLEY RD, GILBERT, AZ 85234-1604
(480) 543-2000
Mailing address
1377 DRESDEN DR NE APT 2121, BROOKHAVEN, GA 30319-3491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11445
AZ
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
03/18/2026
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