NPI 1043850324
Tatum Professional Group LLC
Practice location
- Address
- 21001 N Tatum Blvd STE 78-1640, Phoenix, AZ 85050-5244
- Phone
- (480) 773-7662
- Mailing address
- 2250 E Germann Rd STE 8, Chandler, AZ 85286-1575
Authorised official
- Name
- Minoo Rahimi
- Title
- Cfo
- Phone
- (480) 926-7800
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1043850324
- Entity type
- Organization
- NPI issued
- 14 Jan 2020
- Record last updated
- 13 Feb 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.