TIFFANY ALEXIS HOSTEN BLACKMOND

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

Dr TIFFANY ALEXIS HOSTEN BLACKMOND is a female medical professional, specializing in Internal Medicine. She graduated in 2015 from University Of Arizona College Of Medicine.

Contact

BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC

1435 S ALMA SCHOOL RD
CHANDLER
AZ
852867144

Tel: 4806681600

TIFFANY ALEXIS HOSTEN BLACKMOND Information

Npi 1811377906
Pac Id 1850635327
Professional Enrollment Id I20181211000270
Last Name HOSTEN BLACKMOND
First Name TIFFANY
Middle Name ALEXIS
Suffix
Gender F
Credential
Medical School Name UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year 2015
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
Group Practice Pac Id 6406020155
Number Of Group Practice Members 146
Line 1 Street Address 1435 S ALMA SCHOOL RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CHANDLER
State AZ
Zip Code 852867144
Phone Number 4806681600
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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