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

Dr. Ty M Tallman, NMD

Individual provider Integrative Medicine Physician · NPI 1770614307

Dr. Ty M Tallman, NMD is an Integrative Medicine Physician in Mesa, Arizona. Practices as a sole proprietor. Licensed in Arizona and Oregon.

Licensed in
AZ, OR
In the registry since
2007
Specialties on file
5

Practice location Address checks out

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone: (480) 219-2624
Fax: (888) 210-1237
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 04-792 (AZ)
Integrative Medicine Physician Taxonomy 202D00000X · Licence 04-792 (AZ)
Integrative Medicine Physician Taxonomy 202D00000X · Licence 4461 (OR)
Obesity Medicine (Preventive Medicine) Physician Taxonomy 2083B0002X · Licence 04-792 (AZ)
General Practice Physician Taxonomy 208D00000X · Licence 04-792 (AZ)

Record details

NPI number1770614307
Entity typeIndividual (Type 1)
GenderMale
Credentials NMD
Sole proprietorYes
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 14, 2025
Certification dateJuly 14, 2025

Other providers in Mesa