NPI 1174512032

Marvin K. Tam, MD

Practitioner Diagnostic Radiology Physician Mesa, AZ

Practice location

Address: 6424 E Broadway Rd STE 101, Mesa, AZ 85206-1750
Phone: (480) 456-9000
Mailing address: 1201 S Alma School Rd Suite 14000, Mesa, AZ 85210-2008

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 28319 (AZ)

Other Radiology providers in Arizona →

Registry record

NPI: 1174512032
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Oct 2005
Record last updated: 11 Feb 2019

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.