Tanner Bollig
Tanner Bollig is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2601 E Roosevelt StPhoenix, AZ 85008-4973
Phone: (602) 344-5011
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1396433637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 25, 2023 |
| Last updated in NPPES | April 25, 2023 |
| Certification date | April 25, 2023 |
| Mailing address | 4532 N 39th St, Phoenix, AZ 85018-3610 |
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Chelsea Caterino Bonfiglio, MD
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