Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tatum Ridge Internal Medicine PLC

Organization Internal Medicine Physician · NPI 1083622997

Tatum Ridge Internal Medicine PLC is an Internal Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

18404 N Tatum Blvd Ste 205
Phoenix, AZ 85032-1509
Phone: (602) 971-5500
Fax: (602) 944-0504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1083622997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Elliot — Physician Partner · (602) 971-5500
NPI enumeratedAugust 4, 2006
Last updated in NPPESMarch 30, 2011
Mailing address18404 N Tatum Blvd, Ste 205, Phoenix, AZ 85032-1509

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