Tatum Ridge Internal Medicine Plc

NPI #1083622997 in Phoenix, Arizona

Provider Information

NPI Number: 1083622997
Entity Type: Organization
Organization Name: Tatum Ridge Internal Medicine Plc
Primary Specialty: Internal Medicine
Enumeration Date: Aug 4, 2006
Last Updated: Mar 30, 2011

Practice Location

Address: 18404 N TATUM BLVD
Address 2: STE 205
City: Phoenix
State: Arizona
ZIP Code: 85032-1509
Phone: (602) 971-5500

Authorized Official

Name: DR. DAVID LAWRENCE ELLIOT, MD
Title: PHYSICIAN PARTNER
Phone: (602) 971-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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